Organization
INTEGRATED SURGERY CENTER LLC
Active
Other names
Integrated Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN NISSANOFF M.D (CEO)
(310) 855-0752
Entity
Organization
Contact information
Practice address
8670 WILSHIRE BLVD, SUITE 203, BEVERLY HILLS, CA 90211-2924
(310) 855-0752
Mailing address
POST OFFICE BOX 269092, OKLAHOMA CITY, OK 73126-9092
(310) 855-0752
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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