Organization
LOS ANGELES SURGICAL CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS GARCIA BACHMANN (BUSINESS ACCOUNTS MANAGER)
(213) 637-2530
Entity
Organization
Contact information
Practice address
2200 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 637-2539
(213) 384-3580
Mailing address
PO BOX 1062, BEVERLY HILLS, CA 90213-1062
(213) 637-2530
(213) 384-3373
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01409F
—
CA
Enumeration date
05/31/2006
Last updated
10/02/2014
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