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General NPI Number Information
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NPI Number | 1538530324
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Entity Type | Organization
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Legal Business Name | PARAMOUNT SURGERY CENTER, INC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 15942 COLORADO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-5008
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Country | US
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Telephone | 310-678-6672
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Fax | 310-693-9840
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Provider Business Mailing Address
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Address Line | 8939 S SEPULVEDA BLVD SUITE 406
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City | LOS ANGELES
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State | CA
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Zip | 90045-3631
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Country | US
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Telephone | 310-678-6672
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Fax | 310-693-9840
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GUDATA HINIKA
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Credential | M.D.
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Telephone | 310-678-6672
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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 |
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License Number State |
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