BEACH DISTRICT SURGERY CENTER LP NPI 1952343204

NPI Information

NPI: 1952343204
Provider Name: BEACH DISTRICT SURGERY CENTER LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1053350

Address:
514 N PROSPECT AVE
SUITE 100
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 376-2707
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BEACH DISTRICT SURGERY CENTER LP is an ambulatory surgical clinic center in Redondo Beach, CA. BEACH DISTRICT SURGERY CENTER LP NPI is 1952343204. The provider is registered as an organization entity type.

The provider's business location address is:

514 N PROSPECT AVE
SUITE 100
REDONDO BEACH, CA
ZIP 90277-036
Phone: (310) 376-2707
Fax: (310) 798-4600

The provider's authorized official is Craig Smith .
The authorized official title is Medical Director and has the following contact phone number (310) 376-2707.

The CLIA number assigned to this NPI record is 05D1053350 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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