KIOWA ENTERPRISES LLC NPI 1922286855

NPI Information

NPI: 1922286855
Provider Name: KIOWA ENTERPRISES, LLC

Doing Business As: SOUTH BAY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
555 PIER AVE
SUITE 1-A
HERMOSA BEACH, CA
ZIP 90254
Phone: (310) 374-4176
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KIOWA ENTERPRISES, LLC is an ambulatory surgical clinic center in Hermosa Beach, CA. KIOWA ENTERPRISES, LLC NPI is 1922286855. The provider is registered as an organization entity type.
The provider Is Doing Business As South Bay Surgery Center.

The provider's business location address is:

555 PIER AVE
SUITE 1-A
HERMOSA BEACH, CA
ZIP 90254-839
Phone: (310) 374-4176
Fax: (310) 374-4175

The provider's authorized official is Noel L Chun .
The authorized official title is Member and has the following contact phone number (310) 374-4176.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.

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

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: 5/5/2024

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