Healthcare Provider Details

I. General information

NPI: 1508107277
Provider Name (Legal Business Name): AMERICAN SURGICAL CENTERS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N PALM CANYON DR
PALM SPRINGS CA
92262-4402
US

IV. Provider business mailing address

1199 N INDIAN CANYON DR STE A
PALM SPRINGS CA
92262-4836
US

V. Phone/Fax

Practice location:
  • Phone: 760-866-1155
  • Fax: 760-346-3663
Mailing address:
  • Phone: 760-866-1155
  • Fax: 760-346-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MAHER ALI ABDALLAH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 949-241-5955