Organization
GUARDIAN SURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TAIMOORAZY M.D. (OWNER)
(309) 838-1747
Entity
Organization
Contact information
Practice address
436 N ROXBURY DR STE 101, BEVERLY HILLS, CA 90210-5016
(309) 838-1747
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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