PLAYA ADVANCE SURGICAL INSTITUTE LLC NPI 1659624682

NPI Information

PLAYA ADVANCE SURGICAL INSTITUTE LLC is an ambulatory surgical clinic center in Los Angeles, CA. PLAYA ADVANCE SURGICAL INSTITUTE LLC NPI is 1659624682. The provider is registered as an organization entity type.

The provider's business location address is:

5450 LINCOLN BLVD
LOS ANGELES, CA
ZIP 90094-002
Phone: (310) 600-5846

The provider's authorized official is Gladys Anne Happer .
The authorized official title is Managing Member and has the following contact phone number (310) 600-5846.

The CLIA number assigned to this NPI record is 05D2057515 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 10/15/2012.

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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