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Organization

DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER

Active
Other names
DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA X PADILLA (ADMINISTRATOR / DIRECTOR OF NURSING)
(310) 574-0426
Entity
Organization

Contact information

Practice address
13160 MINDANAO WAY, STE. 150, MARINA DEL REY, CA 90292
(310) 424-2000
Mailing address
13160 MINDANAO WAY STE 150, MARINA DEL REY, CA 90292-6393
(310) 574-0440
(310) 574-0441

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/04/2007
Last updated
09/02/2025
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