Basic Information
| Provider Information | |||||||||
| NPI: | 1740453604 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW ME SURGICAL INSTITUTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6200 WILSHIRE BLVD STE 1710 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900485818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022982653 | ||||||||
| FaxNumber: | 6022982686 | ||||||||
| Practice Location | |||||||||
| Address1: | 6200 WILSHIRE BLVD STE 1710 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900485818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022982653 | ||||||||
| FaxNumber: | 6022982686 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2008 | ||||||||
| LastUpdateDate: | 04/10/2008 | ||||||||
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| AuthorizedOfficialLastName: | SHEIBANI | ||||||||
| AuthorizedOfficialFirstName: | SHANE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6022982653 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.