Organization
SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE KWAN (BILLING MANAGER)
(310) 360-3922
Entity
Organization
Contact information
Practice address
1044 S FAIR OAKS AVE, SUITE 301, PASADENA, CA 91105-2622
(626) 795-9023
(626) 797-1731
Mailing address
1044 SOUTH FAIR OAKS AVE, SUITE 301, PASADENA, CA 91105-2622
(626) 795-9023
(626) 797-1731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A62828
CA
Other
Enumeration date
03/15/2007
Last updated
09/03/2009
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