MEDICARE: TECHNICAL SURGERY SUPPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1013213347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECHNICAL SURGERY SUPPORT

Provider Business Mailing Address
First Line	:	250 N ROBERTSON BLVD STE 429
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1767
Country	:	US
Telephone Number	:	310-275-5245
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 N ROBERTSON BLVD STE 429
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1767
Country	:	US
Telephone Number	:	310-275-5245
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXANDER ZAKS
Credential	:
Telephone Number	:	310-275-5245

Provider Enumeration Date	:	02/03/2011
Last Update Date	:	02/03/2011

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Directions to “TECHNICAL SURGERY SUPPORT ” Practice Location

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