GLENDORA SURGERY CENTER NPI 1811921752

NPI Information

NPI: 1811921752
Provider Name: GLENDORA SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 05D2091227
Address: 541 S PASADENA AVE
#101
GLENDORA, CA
ZIP 91741
Phone: (626) 610-1850

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NPI Details

GLENDORA SURGERY CENTER is an ambulatory surgical clinic center in Glendora, CA. GLENDORA SURGERY CENTER NPI is 1811921752. The provider is registered as an organization entity type.

The provider's business location address is:

541 S PASADENA AVE
#101
GLENDORA, CA
ZIP 91741
Phone: (626) 610-1850
Fax: (626) 963-8691

The provider's authorized official is Najib Bouz .
The authorized official title is Director and has the following contact phone number (626) 963-4124.

The CLIA number assigned to this NPI record is 05D2091227 - physician office 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 cataract with insertion of prosthetic lens (HCPCS:66984)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/16/2011.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005270	MEDICARE ID-TYPE UNSPECIFIED

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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