Organization
MIKO SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K OBENG MD (CEO)
(310) 275-2705
Entity
Organization
Contact information
Practice address
435 N ROXBURY DR, SUITE 205B, BEVERLY HILLS, CA 90210-5027
(310) 275-2705
(310) 275-2701
Mailing address
435 N ROXBURY DR, SUITE 205B, BEVERLY HILLS, CA 90210-5027
(310) 275-2705
(310) 275-2701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AAAASF
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5250
AAAASF CLASS C
CA
Enumeration date
08/28/2013
Last updated
12/31/2013
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