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Organization

BEVERLY SURGERY CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN DIETRICH M.D. (MEDICAL DIRECTOR)
(310) 553-1511
Entity
Organization

Contact information

Practice address
1125 S BEVERLY DR, SUITE 111, LOS ANGELES, CA 90035-1148
(310) 553-1511
(213) 484-6317
Mailing address
1125 S BEVERLY DR, SUITE 111, LOS ANGELES, CA 90035-1148
(310) 553-1511
(213) 484-6317

Taxonomy

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

Other

Enumeration date
12/30/2013
Last updated
12/30/2013
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