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General NPI Number Information
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NPI Number | 1376744888
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Entity Type | Organization
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Legal Business Name | AALPHA SURGICAL CENTER INC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3831 HUGHES AVE SUITE 512
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City | CULVER CITY
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State | CA
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Zip | 90232-2751
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Country | US
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Telephone | 310-204-4189
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 HUGHES AVE SUITE 512
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City | CULVER CITY
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State | CA
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Zip | 90232-2751
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Country | US
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Telephone | 310-204-4189
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC J. KAYEM
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Credential | MD
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Telephone | 310-204-4189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A49693
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License Number State | CA
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