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General NPI Number Information
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NPI Number | 1639429004
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Entity Type | Organization
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Legal Business Name | SINAI SURGERY CENTER, INC.
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 606
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-274-4900
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Fax | 310-552-9700
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 606
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-274-4900
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Fax | 310-552-9700
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. FARZIN KERENDIAN
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Credential | D.O.
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Telephone | 310-274-4900
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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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