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General NPI Number Information
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NPI Number | 1780889394
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Entity Type | Organization
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Legal Business Name | OCEAN PARK HEALTH SURGERY CENTER, INC.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2034 COTNER AVE 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90025-5668
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Country | US
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Telephone | 310-575-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 44623 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-3013
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Country | US
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Telephone | 661-942-0451
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER J CHESKI
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Credential | M.D.
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Telephone | 310-575-1500
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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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