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Medicl Facility ID: 6778002810327655436

Facility Business Name: BROADWAY LASER SURGICAL INSTITUTE INC ( GLENDALE, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id6778002810327655436
Facility NameBROADWAY LASER SURGICAL INSTITUTE INC
Address Line1100 E BROADWAY STE 201
CityGLENDALE
StateCA
Zip91205
TypeHospital
NPI Number1558853234
Provider Id05C0002234