Provider Demographics
NPI:1013213347
Name:TECHNICAL SURGERY SUPPORT
Entity Type:Organization
Organization Name:TECHNICAL SURGERY SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-275-5245
Mailing Address - Street 1:250 N ROBERTSON BLVD STE 429
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1767
Mailing Address - Country:US
Mailing Address - Phone:310-275-5245
Mailing Address - Fax:
Practice Address - Street 1:250 N ROBERTSON BLVD STE 429
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1767
Practice Address - Country:US
Practice Address - Phone:310-275-5245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty