Organization
UNITED SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER YACOUB (BILLING OFFICE MANAGER)
(323) 720-9204
Entity
Organization
Contact information
Practice address
128 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
(323) 720-9204
(323) 720-9208
Mailing address
128 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-4730
(323) 720-9204
(323) 720-9208
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01603F
—
CA
Enumeration date
02/20/2007
Last updated
12/06/2011
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