Organization
PLAYA ADVANCE SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS ANNE HAPPER NP (MANAGING MEMBER)
(310) 600-5846
Entity
Organization
Contact information
Practice address
5450 LINCOLN BLVD, LOS ANGELES, CA 90094-2002
(310) 600-5846
Mailing address
4712 ADMIRALTY WAY, #930, MARINA DEL REY, CA 90292-6905
(310) 600-5846
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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