Organization · Type 2 NPI

Premier Surgical Pavilion of la

Ambulatory Surgical Clinic/Center · Los Angeles, CA

NPI number 1114589793 Active

Practice location

11661 San Vicente Blvd
Los Angeles, CA 90049-5103

Call (212) 223-0716 Map

Mailing address

115 E 39th St
New York, NY 10016-0943

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

5 other providers at this address

Other ambulatory surgical clinic/center providers in Los Angeles

See all in Los Angeles →

About NPI 1114589793

Premier Surgical Pavilion of la's National Provider Identifier is 1114589793, issued on Jul 3, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 3, 2019.