Organization
SUMMIT SURGICAL ASSOCIATES LLC
Active
Other names
Summit Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE LEE KRAWCZYK (ADMINISTRATOR)
(310) 859-9988
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR STE 400, BEVERLY HILLS, CA 90210-4318
(310) 275-5566
(310) 271-0521
Mailing address
416 N BEDFORD DR STE 400, BEVERLY HILLS, CA 90210-4318
(310) 275-5566
(310) 271-0521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2276
ASF CERT NUMBER
—
Enumeration date
09/27/2006
Last updated
05/02/2018
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