| NPI | 1679694392 |
|---|---|
| Former Legal Business Name | DIRECTED INTERVENTIONAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SALLY CASE Billing Manager 310-829-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051520) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-02-03 |