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General NPI Number Information
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NPI Number | 1699420315
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Entity Type | Organization
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Legal Business Name | SANTE SURGERY CENTER LOS ANGELES
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 1111
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City | LOS ANGELES
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State | CA
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Zip | 90067-2029
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Country | US
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Telephone | 833-540-2220
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Fax | 310-695-2986
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E STE 500
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City | LOS ANGELES
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State | CA
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Zip | 90067-2008
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Country | US
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Telephone | 661-388-4143
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Fax | 310-695-2986
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ASHRAF ELSAYEGH
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Credential | MD
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Telephone | 661-388-4143
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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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