MONTEREY ASC LLC NPI 1215344312

NPI Information

  • NPI: 1215344312
  • Provider Name: MONTEREY ASC, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D0880770
  • Address: 44139 MONTEREY AVE
    SUITE B
    PALM DESERT, CA
    ZIP 92260
  • Phone: (949) 610-0033

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NPI Details

MONTEREY ASC, LLC is an ambulatory surgical clinic center in Palm Desert, CA. MONTEREY ASC, LLC NPI is 1215344312. The provider is registered as an organization entity type.

The provider's business location address is:

44139 MONTEREY AVE
SUITE B
PALM DESERT, CA
ZIP 92260-700
Phone: (949) 610-0033

The provider's authorized official is Tom S. Chang .
The authorized official title is Owner and has the following contact phone number (626) 676-0838.

The CLIA number assigned to this NPI record is 05D0880770 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.

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: 11/21/2025

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