Organization
WEST LA SPINE ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIV SAMIMI (ADMINISTRATOR)
(310) 856-9488
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD STE 436, LOS ANGELES, CA 90025-4695
(310) 856-9488
Mailing address
1964 WESTWOOD BLVD STE 436, LOS ANGELES, CA 90025-4695
(310) 856-9488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06141977
PPO INSURANCE
CA
Enumeration date
08/08/2019
Last updated
08/08/2019
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