Organization
SPALDING TRIANGLE SURGERY CENTER, LLC
Active
Other names
Spalding Triangle Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W ODELL (MANAGING MEMBER)
(805) 679-7560
Entity
Organization
Contact information
Practice address
120 S SPALDING DR STE 115, BEVERLY HILLS, CA 90212-1800
(424) 542-8485
(424) 542-8487
Mailing address
120 S SPALDING DR STE 115, BEVERLY HILLS, CA 90212-1800
(424) 542-8485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000124
DHS LICENSE
CA
Enumeration date
06/18/2006
Last updated
05/07/2018
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