Organization
LANDMARK IMAGING SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SILVERMAN M.D. (MANAGING MEMBER)
(310) 914-7336
Entity
Organization
Contact information
Practice address
11620 WILSHIRE BLVD, STE. 102, LOS ANGELES, CA 90025-1706
(310) 914-7336
(310) 914-1826
Mailing address
PO BOX 6809, ORANGE, CA 92863-6809
(888) 598-8820
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00609867
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
08/26/2008
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