Organization
PASADENA AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FREDERICK STEPHENS D.D.S. (OWNER)
(626) 440-0099
Entity
Organization
Contact information
Practice address
301 S FAIR OAKS AVE, #106, PASADENA, CA 91105-2561
(626) 440-0099
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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