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Organization

GENESIS AMBULATORY SURGICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCHLOMO SCHMUEL M.D. (MEDICA DIRECTOR)
(818) 366-0474
Entity
Organization

Contact information

Practice address
420 E 3RD ST STE 604, LOS ANGELES, CA 90013-1645
(213) 626-3330
(213) 652-1948
Mailing address
420 E 3RD ST STE 604, LOS ANGELES, CA 90013-1645
(213) 626-3330
(213) 652-1948

Taxonomy

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

Other

Enumeration date
11/18/2009
Last updated
01/26/2012
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