SOURCE SURGERY CENTER LLC

SANTA MONICA, CA
NPI1558802249
Entity TypeOrganization
Authorized ContactTIMOTHY T DAVIS
Owner
310-574-2777
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2017-03-14
Last Update Date2020-01-21
Business Address
SOURCE SURGERY CENTER LLC
2801 WILSHIRE BLVD
SANTA MONICA, CA 90403-4801
Phone number: 310-574-2777
Mailing Address
SOURCE SURGERY CENTER LLC
1112 MONTANA AVE SUITE 900
SANTA MONICA, CA 90403-1652
Phone number: 310-574-2777
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