NPI Provider: 1578512539
Contact Name: Lane Sherwin Charles
Position: Medical Director
Phone: (310) 858-0104
Specialists Ambulatory Surgery Center Medical Group, Inc. Information:
Specialists Ambulatory Surgery Center Medical Group, Inc. organization have npi 1578512539, taxonomy code is 261QA1903X with license number is in . This Business address located in 9001 Wilshire Blvd, Beverly Hills, CA 90211 California.
Practice Location
Address: 9001 Wilshire Blvd, Beverly Hills, CA 90211
Phone: (310) 858-4961
Business Location
Address: 9001 Wilshire Blvd, Beverly Hills, CA 90211
Phone: (310) 858-4961
Fax: (310) 858-8107
Taxonomy
Taxonomy Code: 261QA1903X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 5/8/2006
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