Organization
IVY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BARRETT (MD/CEO)
(310) 598-2648
Entity
Organization
Contact information
Practice address
9701 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2020
(310) 598-2648
Mailing address
9701 WILSHIRE BLVD, ML1, BEVERLY HILLS, CA 90212-2020
(310) 598-2648
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A110166
CA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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