Organization
ADVANCED SURGICAL AND MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX FAZELI MD (PRESIDENT)
(310) 570-8175
Entity
Organization
Contact information
Practice address
26671 ALISO CREEK RD, SUITE 205, ALISO VIEJO, CA 92656-4809
(310) 570-8175
Mailing address
9730 RESEARCH DR, IRVINE, CA 92618-4327
(310) 570-8175
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
03/29/2011
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