Organization
MARINA OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PALOMARES (INSURANCE COORDINATOR)
(310) 827-3904
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, SUITE 108, MARINA DEL REY, CA 90292-5423
(310) 827-3904
(310) 827-1493
Mailing address
4560 ADMIRALTY WAY, SUITE 108, MARINA DEL REY, CA 90292-5423
(310) 827-3904
(310) 827-1493
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
06/17/2010
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