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Advanced Therapy Surgery Center Inc

Organization Active NPI Ambulatory Surgical Clinic/Center · Santa Monica, CA

NPI 1679940233 · NPPES record last updated Aug 29, 2015

Key facts

NPI
1679940233
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
License
72676 (CA)
Legal business name
ADVANCED THERAPY SURGERY CENTER INC
Practice address
804 7TH St
Suite B
Santa Monica, CA 90403-1408
Phone
(310) 998-5533
NPI assigned
Aug 29, 2015
Organization subpart
No

Authorized official

Name
Dr. Raffy Karamanoukian, MD
Title
President
Phone
(310) 998-5533

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2097839Advanced Therapy Surgery Center, Inc
804 7TH St Ste B, Santa Monica, CA 90403		Certificate of waiverJun 23, 2027

National Provider Directory

Locations

804 7th St
Ste B
Santa Monica, CA 90403
Phone (310) 998-5533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 72676 CA Yes

Addresses

Primary practice location

804 7TH St
Suite B
Santa Monica, CA 90403-1408

Mailing address

804 7TH St
Suite B
Santa Monica, CA 90403-1408
Phone (310) 998-5533

Other providers in Santa Monica, CA

All providers in Santa Monica, CA · Ambulatory Surgical Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.