Nm Golden State Surgical Servic
Clinic/Center, Ambulatory Surgical in Los Angeles, CA. Organization (NPI-2).
NPI number1801199765
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1801199765
- Entity type
- Organization (NPI-2)
- Legal business name
- Nm Golden State Surgical Servic
- Organization subpart
- No
- Enumeration date
- Dec 15, 2010
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
2202 S Figueroa St # 600Los Angeles, CA 90007-2049
Phone 520-547-4130 · Fax 520-258-0304
Mailing address
2202 S Figueroa St # 600Los Angeles, CA 90007-2049
Phone 520-547-4130 · Fax 520-258-0304
Authorized official
Annette Fischer
Medical Biller
5205474130
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