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1578605044
BROADWAY SURGICAL INSTITUTE, LLC
SANTA MONICA, CA
NPI
1578605044
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Entity Type
Organization
Authorized Contact
ALEXANDER P HERSEL
Director
310-260-2827
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2007-02-13
Last Update Date
2013-01-10
Business Address
BROADWAY SURGICAL INSTITUTE, LLC
1451 S BROADWAY STREET
SANTA MONICA, CA 90404-1811
Phone number: 310-260-2827
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Mailing Address
BROADWAY SURGICAL INSTITUTE, LLC
1451 BROADWAY
SANTA MONICA, CA 90404-2711
Phone number: 602-298-2653
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