Organization
PACIFIC SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVERE GARETH WOOTTON M.D. (MEDICAL DIRECTOR)
(310) 315-0222
Entity
Organization
Contact information
Practice address
1301 20TH ST, #470, SANTA MONICA, CA 90404-2050
(310) 315-0222
(310) 828-8852
Mailing address
1301 20TH ST, #470, SANTA MONICA, CA 90404-2050
(310) 315-0222
(310) 828-8852
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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