Organization
PACIFIC CARE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM DANESHRAD M.D. (MEDICAL DIRECTOR)
(310) 453-6500
Entity
Organization
Contact information
Practice address
1304 15TH ST STE 403, SANTA MONICA, CA 90404-1813
(310) 453-6500
Mailing address
1304 15TH ST STE 403, SANTA MONICA, CA 90404-1813
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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