Organization · Type 2 NPI

Peninsula Outpatient Surgery Center, Inc.

Ambulatory Surgical Clinic/Center · San Pedro, CA

NPI number 1629141759 Active

Practice location

1360 W 6th St, #265
San Pedro, CA 90732-3514

Mailing address

11999 San Vicente Blvd, #440
Los Angeles, CA 90049-5131

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

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About NPI 1629141759

Peninsula Outpatient Surgery Center, Inc.'s National Provider Identifier is 1629141759, issued on Nov 16, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Pedro, CA. The record was last updated on Aug 5, 2008.