MEDICARE: AMERICAN SURGICAL CENTERS, LP

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1508107277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN SURGICAL CENTERS, LP

Provider Business Mailing Address
First Line	:	1199 N INDIAN CANYON DR STE A
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4836
Country	:	US
Telephone Number	:	760-866-1155
Fax Number	:	760-346-3663

Provider Business Practice Location Address
First Line	:	1180 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4402
Country	:	US
Telephone Number	:	760-866-1155
Fax Number	:	760-346-3663

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MAHER ALI ABDALLAH
Credential	:	M.D.
Telephone Number	:	949-241-5955

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	09/11/2023

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