ELITE SURGERY CENTER OF SOUTH BAY LLC NPI 1205448750

NPI Information

  • NPI: 1205448750
  • Provider Name: ELITE SURGERY CENTER OF SOUTH BAY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2205732
  • Address: 20528 HAWTHORNE BLVD STE 301
    TORRANCE, CA
    ZIP 90503
  • Phone: (424) 247-9090

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NPI Details

ELITE SURGERY CENTER OF SOUTH BAY LLC is an ambulatory surgical clinic center in Torrance, CA. ELITE SURGERY CENTER OF SOUTH BAY LLC NPI is 1205448750. The provider is registered as an organization entity type.

The provider's business location address is:

20528 HAWTHORNE BLVD STE 301
TORRANCE, CA
ZIP 90503-202
Phone: (424) 247-9090

The provider's authorized official is Mehran Taban .
The authorized official title is Chairman, Governing Body and has the following contact phone number (424) 247-9090.

The CLIA number assigned to this NPI record is 05D2205732 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of recurring cataract in lens capsule by stab incision (HCPCS:66820)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of membrane of retina (HCPCS:67041)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Removal of margin of iris to improve eye fluid flow (HCPCS:66625)
  • Removal of implanted lens of eye (HCPCS:65920)

The enumeration date for this NPI number is 8/17/2020 and was last updated on 10/16/2020.

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 SurgicalYes

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: 3/30/2025

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