SO
STATE OF THE ART SURGERY CENTER
Adult Day Care
OIG CLEARNPI VERIFIED
Location
LOS ANGELES, CA
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1710152590
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameRICHARD ELLENBOGEN
TitlePRACTICE OWNER
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