| Landmark Imaging Surgical Center, Llc | |
|
11620 Wilshire Blvd Ste. 102 Los Angeles CA 90025-1706 | |
| (310) 914-7336 | |
| (310) 914-1826 |
| Full Name | Landmark Imaging Surgical Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11620 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jeffrey Silverman (MANAGING MEMBER) |
| Authorized Official Contact | 3109147336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Imaging Surgical Center, Llc Po Box 6809 Orange CA 92863-6809 Ph: (888) 598-8820 | Landmark Imaging Surgical Center, Llc 11620 Wilshire Blvd Ste. 102 Los Angeles CA 90025-1706 Ph: (310) 914-7336 |
| NPI Number | 1912916214 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912916214 | NPI | - | NPPES |
| P00609867 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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