Provider Demographics
NPI:1891523312
Name:PRECISION SURGICAL INC
Entity type:Organization
Organization Name:PRECISION SURGICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:AHDOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-526-7144
Mailing Address - Street 1:191 S BUENA VISTA ST STE 370
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4562
Mailing Address - Country:US
Mailing Address - Phone:310-526-7144
Mailing Address - Fax:310-526-7157
Practice Address - Street 1:191 S BUENA VISTA ST STE 370
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4562
Practice Address - Country:US
Practice Address - Phone:310-526-7144
Practice Address - Fax:310-526-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty