institution
Dtla Pain Surgery Center Inc
Ambulatory Surgical Clinic/Center in Los Angeles, California
NPI 1245876937

Dtla Pain Surgery Center Inc is an Ambulatory Surgical Clinic/Center based in Irvine, CA and is specialized in Ambulatory Surgical. Dtla Pain Surgery Center Inc practices in Los Angeles, CA. The NPI Number for Dtla Pain Surgery Center Inc is 1245876937 and holds a License No. (California).

The current practice location address for Dtla Pain Surgery Center Inc is 1513 S Grand Ave, Los Angeles, CA and can be reached out via phone at 949-872-2633 and via fax at 888-885-5414.

Location: 1513 S Grand Ave, Los Angeles, CA, 92618-2568
institution
Provider Profile Details
NPI Number
1245876937
Provider Name
Dtla Pain Surgery Center Inc
Credential
Provider Entity Type
Organization
Address
1513 S Grand Ave, Los Angeles, CA, 92618-2568
Phone Number
949-872-2633
Fax Number
888-885-5414
Provider Enumeration Date
11/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669470068 05 CA
1437700465 01 CA ASC
institution
Provider Business Practice Location Address Details
Address
1513 S Grand Ave
City
State
Zip
90015-3070
Phone Number
949-872-2633
Fax Number
888-885-5414
person
Provider Business Mailing Address Details
Address
1513 S Grand Ave
City
State
Zip
90015-3070
Phone Number
949-872-2633
Fax Number
888-885-5414
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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