Organization
AST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL GHODADRA MD (MEDICAL DIRECTOR)
(310) 801-6741
Entity
Organization
Contact information
Practice address
120 S SPALDING DR STE 200, BEVERLY HILLS, CA 90212-1840
(310) 857-8528
Mailing address
9675 BRIGHTON WAY STE B1, BEVERLY HILLS, CA 90210-5144
(310) 801-6741
(310) 227-8221
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A116163
CA
Other
Enumeration date
11/15/2016
Last updated
10/01/2019
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