Organization
GRAND AVENUE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG HORNER MD (CEO)
(925) 984-4734
Entity
Organization
Contact information
Practice address
1400 S GRAND AVE STE 700, LOS ANGELES, CA 90015-3068
(213) 866-1900
(213) 275-1393
Mailing address
1400 S GRAND AVE STE 700, LOS ANGELES, CA 90015-3068
(213) 866-1900
(213) 275-1393
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/04/2020
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