Organization
CANAAN SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JUNG KIM M.D. (CEO/MEDICAL DIRECTOR)
(323) 909-6644
Entity
Organization
Contact information
Practice address
903 CRENSHAW BLVD, SUITE 200, LOS ANGELES, CA 90019-1964
(323) 909-6644
Mailing address
903 CRENSHAW BLVD, SUITE 200, LOS ANGELES, CA 90019-1964
(323) 909-6644
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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