PACIFIC CREST MULTI SPECIALTY SURGERY INC. NPI 1114678752

NPI Information

NPI: 1114678752
Provider Name: PACIFIC CREST MULTI SPECIALTY SURGERY, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1601 PACIFIC COAST HWY STE 150
HERMOSA BEACH, CA
ZIP 90254
Phone: (310) 571-9923
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PACIFIC CREST MULTI SPECIALTY SURGERY, INC. is an ambulatory surgical clinic center in Hermosa Beach, CA. PACIFIC CREST MULTI SPECIALTY SURGERY, INC. NPI is 1114678752. The provider is registered as an organization entity type.

The provider's business location address is:

1601 PACIFIC COAST HWY STE 150
HERMOSA BEACH, CA
ZIP 90254-259
Phone: (310) 571-9923
Fax: (310) 861-5001

The provider's authorized official is Brendan Bakir .
The authorized official title is Ceo and has the following contact phone number (310) 748-8800.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/14/2022.

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

NPI Synchronization or Removal

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