Provider Demographics
NPI:1457624637
Name:ANIMAL SURGICAL & EMERGENCY CENTER
Entity Type:Organization
Organization Name:ANIMAL SURGICAL & EMERGENCY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:310-473-5906
Mailing Address - Street 1:1535 S SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3311
Mailing Address - Country:US
Mailing Address - Phone:310-473-5906
Mailing Address - Fax:310-479-8976
Practice Address - Street 1:1535 S SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3311
Practice Address - Country:US
Practice Address - Phone:310-473-5906
Practice Address - Fax:310-479-8976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5901284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital