Organization
MIRAMAR SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLAN HESTRIN M.D. (PRESIDENT)
(310) 903-1980
Entity
Organization
Contact information
Practice address
427 W PUEBLO ST STE C, SANTA BARBARA, CA 93105-6206
(805) 682-7222
(805) 687-7077
Mailing address
PO BOX 261070, ENCINO, CA 91426-1070
(310) 903-1980
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G062996
CA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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