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Organization

THE CENTER FOR AMBULATORY SURGICAL TREATMENT, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE L. REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization

Contact information

Practice address
1090 GLENDON AVE, LOS ANGELES, CA 90024-2908
(310) 209-6500
(310) 209-6225
Mailing address
1090 GLENDON AVE, LOS ANGELES, CA 90024-2908
(310) 209-6500
(310) 209-6225

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000985
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AS1581
BLUE CROSS
CA
01
P00114687
RAILROAD MEDICARE
CA
Enumeration date
06/30/2005
Last updated
09/30/2014
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