MODESTO SPECIALTY SURGERY CENTER PC

LOS ANGELES, CA
NPI1205177235
Entity TypeOrganization
Authorized ContactDANIEL P. TAHERI
President
310-993-8994
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Additional Taxonomies261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2013-03-15
Last Update Date2022-07-21
Business Address
MODESTO SPECIALTY SURGERY CENTER PC
10884 SANTA MONICA BLVD #300
LOS ANGELES, CA 90025-4646
Phone number: 310-993-8994
Mailing Address
MODESTO SPECIALTY SURGERY CENTER PC
PO BOX 16297
BEVERLY HILLS, CA 90209-2297
Phone number: 310-993-8994