Organization
PIVAC ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER L. BROWN M.D. (MEDICAL DIRECTOR)
(310) 348-9604
Entity
Organization
Contact information
Practice address
6076 BRISTOL PKWY, SUITE 108, CULVER CITY, CA 90230-6600
(310) 348-9604
Mailing address
40 VALLEY STREAM PKWY, SUITE 100, MALVERN, PA 19355-1407
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
03/11/2025
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