PALENGEN SX LLC. NPI 1154846111

NPI Information

  • NPI: 1154846111
  • Provider Name: PALENGEN SX, LLC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2181031
  • Address: 1127 WILSHIRE BLVD STE 1000
    LOS ANGELES, CA
    ZIP 90017
  • Phone: (310) 882-3884

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NPI Details

PALENGEN SX, LLC. is an ambulatory surgical clinic center in Los Angeles, CA. PALENGEN SX, LLC. NPI is 1154846111. The provider is registered as an organization entity type.

The provider's business location address is:

1127 WILSHIRE BLVD STE 1000
LOS ANGELES, CA
ZIP 90017-001
Phone: (310) 882-3884

The provider's authorized official is Derek Tan Dee .
The authorized official title is President and has the following contact phone number (310) 882-3884.

The CLIA number assigned to this NPI record is 05D2181031 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 8/17/2017.

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
1261QA1903XClinic/CenterAmbulatory SurgicalA65423CALIFORNIAYes

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: 11/21/2025

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