SOCAL SURGERY CENTER LLC NPI 1871029389

NPI Information

  • NPI: 1871029389
  • Provider Name: SOCAL SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2155535
  • Address: 4477 W 118TH ST STE 502
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (213) 465-0994

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NPI Details

SOCAL SURGERY CENTER LLC is an ambulatory surgical clinic center in Hawthorne, CA. SOCAL SURGERY CENTER LLC NPI is 1871029389. The provider is registered as an organization entity type.

The provider's business location address is:

4477 W 118TH ST STE 502
HAWTHORNE, CA
ZIP 90250-260
Phone: (213) 465-0994
Fax: (213) 600-1472

The provider's authorized official is Reekesh Patel .
The authorized official title is President and has the following contact phone number (909) 965-2953.

The CLIA number assigned to this NPI record is 05D2155535 - ambulatory surgery center 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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 5/3/2017 and was last updated on 3/5/2021.

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:

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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