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1629623376
WEST LA SPINE ASC LLC
LOS ANGELES, CA
NPI
1629623376
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Entity Type
Organization
Authorized Contact
NADIV SAMIMI
Administrator
310-856-9488
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
WEST LA SPINE ASC LLC
1964 WESTWOOD BLVD STE 436
LOS ANGELES, CA 90025-4695
Phone number: 310-856-9488
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Mailing Address
WEST LA SPINE ASC LLC
1964 WESTWOOD BLVD STE 436
LOS ANGELES, CA 90025-4695
Phone number: 310-856-9488
Copy
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