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PIVAC ASC LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
CULVER CITY, CA
Licensed since
2017
Rate
Federal identifiers
NPI registry number1679010417
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients290
Authorized official
NameSPENCER BROWN
TitleMEDICAL DIRECTOR
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