CENTURY PLAZA AMBULATORY SURGICAL CENTER NPI 1568052959

NPI Information

CENTURY PLAZA AMBULATORY SURGICAL CENTER is an ambulatory surgical clinic center in Los Angeles, CA. CENTURY PLAZA AMBULATORY SURGICAL CENTER NPI is 1568052959. The provider is registered as an organization entity type.

The provider's business location address is:

2080 CENTURY PARK E STE 710
LOS ANGELES, CA
ZIP 90067-010
Phone: (424) 527-0194
Fax: (661) 347-3320

The provider's authorized official is Harry Marshak .
The authorized official title is Medical Director and has the following contact phone number (424) 512-9093.

The CLIA number assigned to this NPI record is 05D2286618 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.

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:

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