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Organization

ONE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHE LEE MD (MEDICAL DIRECTOR)
(213) 387-0102
Entity
Organization

Contact information

Practice address
800 S CENTRAL AVE, SUITE # 100A3, GLENDALE, CA 91204-4370
(213) 387-0102
Mailing address
800 S CENTRAL AVE, SUITE # 100A3, GLENDALE, CA 91204-4370

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5600
AAAASF
CA
Enumeration date
01/23/2015
Last updated
01/23/2015
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