CERRITOS SURGERY CENTER LLC NPI 1316190077

NPI Information

  • NPI: 1316190077
  • Provider Name: CERRITOS SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: CERRITOS SURGERY CENTER, LLC
  • CLIA Number: 05D1095154
  • Address: 16543 CARMENITA AVENUE
    CERRITOS, CA
    ZIP 90703
  • Phone: (562) 219-7251

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NPI Details

CERRITOS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Cerritos, CA. CERRITOS SURGERY CENTER, LLC NPI is 1316190077. The provider is registered as an organization entity type.
The provider Other Name Is Cerritos Surgery Center, Llc.

The provider's business location address is:

16543 CARMENITA AVENUE
CERRITOS, CA
ZIP 90703-218
Phone: (562) 219-7251
Fax: (562) 219-7252

The provider's authorized official is Jaqui V Jaime .
The authorized official title is Admin and has the following contact phone number (562) 219-7251.

The CLIA number assigned to this NPI record is 05D1095154 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 11/30/2018.

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 SurgicalCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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