Organization
SIDEOUT SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GIACOBETTI M.D. (CEO)
(714) 769-8400
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE, SUITE 110, MANHATTAN BEACH, CA 90266-2462
(714) 769-8400
(714) 482-6127
Mailing address
1200 ROSECRANS AVE, SUITE 110, MANHATTAN BEACH, CA 90266-2462
(714) 769-8400
(714) 482-6127
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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