| NPI | 1144370594 |
|---|---|
| Former Legal Business Name | THIRD STREET SURGERY CENTER LP |
| Entity Type | Organization |
| Authorized Contact | ALEX LIU Vice President/Medical Director 213-617-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930001001) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-11-04 |