Premier Surgical Pavilion of La
Premier Surgical Pavilion of La is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
11661 San Vicente BlvdLos Angeles, CA 90049-5103
Phone: (212) 223-0716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1114589793 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Jones — Medical Director · (212) 223-0716 |
| NPI enumerated | July 3, 2019 |
| Last updated in NPPES | July 3, 2019 |
| Mailing address | 115 E 39th St, New York, NY 10016-0943 |
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