Organization
BROADWAY SURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER P HERSEL M.D. (DIRECTOR)
(310) 260-2827
Entity
Organization
Contact information
Practice address
1451 S BROADWAY STREET, SANTA MONICA, CA 90404-1811
(310) 260-2827
Mailing address
1451 BROADWAY, SANTA MONICA, CA 90404-2711
(602) 298-2653
(602) 298-2686
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
01/10/2013
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