Mdr Surgery Center, LLC
NPI #1275268120 in Marina Del Rey, California
Provider Information
- NPI Number
- 1275268120
- Entity Type
- Organization
- Organization Name
- Mdr Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 22, 2022
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 13160 MINDANAO WAY STE 202
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-7915
- Phone
- (310) 574-2103
Authorized Official
- Name
- DR. LUIS H MACIAS, MD
- Title
- PRESIDENT
- Phone
- (310) 995-5071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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