Organization
NORTHWEST SURGICAL DEVELOPMENT OF PASADENA LLC
Active
Other names
Athenix Body Sculpting Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAEFNER (ADMINISTRATION)
(949) 600-9931
Entity
Organization
Contact information
Practice address
150 E COLORADO BLVD, STE 102, PASADENA, CA 91105-1937
(626) 584-5898
Mailing address
65 ENTERPRISE, STE 125, ALISO VIEJO, CA 92656-2706
(949) 600-9931
(949) 600-8029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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