Organization
SOCAL BREATHE FREE ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR BORANE (ADMINISTRATOR)
(520) 979-6774
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4580
(520) 979-6774
Mailing address
201 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4580
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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