Organization
MEDICAL PLAZA ORTHOPEDIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ORNELA (DIR REIMBURSEMENT)
(310) 829-2664
Entity
Organization
Contact information
Practice address
1301 20TH ST, ,#140, SANTA MONICA, CA 90404-2050
(310) 829-2663
(858) 225-0292
Mailing address
1301 20TH ST, ,#140, SANTA MONICA, CA 90404-2050
(310) 829-2663
(858) 225-0292
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
05/17/2006
Last updated
07/21/2022
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