IMAGEBASED SURGICENTER CORPORATION NPI 1679624233

NPI Information

NPI: 1679624233
Provider Name: IMAGEBASED SURGICENTER CORPORATION
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2716 OCEAN PARK BLVD
SUITE 1007
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6410
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IMAGEBASED SURGICENTER CORPORATION is an ambulatory surgical clinic center in Santa Monica, CA. IMAGEBASED SURGICENTER CORPORATION NPI is 1679624233. The provider is registered as an organization entity type.

The provider's business location address is:

2716 OCEAN PARK BLVD
SUITE 1007
SANTA MONICA, CA
ZIP 90405-207
Phone: (310) 314-6410
Fax: (310) 314-2414

The provider's authorized official is Aaron Gershon Filler .
The authorized official title is Medical Director and has the following contact phone number (310) 314-6410.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0000694940-AAAHC	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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