Organization
CENTURY SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B. FODOR M.D. (OWNER)
(310) 203-9818
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 703, LOS ANGELES, CA 90067-2001
(310) 203-9818
Mailing address
2080 CENTURY PARK E, SUITE 703, LOS ANGELES, CA 90067-2001
(310) 203-9818
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C29169
CA
Other
Enumeration date
09/12/2007
Last updated
12/06/2007
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