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General NPI Number Information
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NPI Number | 1538316278
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Entity Type | Organization
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Legal Business Name | PHYSICIANS' SURGERY CENTER OF DOWNEY, LLC
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 8200 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-4810
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Country | US
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Telephone | 562-413-9697
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Fax | 562-381-7091
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Provider Business Mailing Address
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Address Line | P.O.BOX 4430
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 310-980-5334
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Fax | 310-919-2900
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TERRRY WEISMAN
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Credential |
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Telephone | 310-980-5334
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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 | RN440122
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License Number State | CA
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