LASER & AMBULATORY SURG CTR OF PASA NPI 1023305984

NPI Information

LASER & AMBULATORY SURG CTR OF PASA is an ambulatory surgical clinic center in Pasadena, CA. LASER & AMBULATORY SURG CTR OF PASA NPI is 1023305984. The provider is registered as an organization entity type.

The provider's business location address is:

800 E. COLORADO BLVD.
SUITE 260
PASADENA, CA
ZIP 91101
Phone: (626) 449-6494
Fax: (626) 449-0813

The provider's authorized official is Warren Stout .
The authorized official title is Md President and has the following contact phone number (626) 449-6494.

The enumeration date for this NPI number is 6/29/2011 and was last updated on 5/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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