CONCOURSE DIAGNOSTIC SURGERY CENTER LLC NPI 1932496908

NPI Details

CONCOURSE DIAGNOSTIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Alhambra, CA. CONCOURSE DIAGNOSTIC SURGERY CENTER, LLC NPI is 1932496908. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Concourse Diagnostic Surgery Center,llc.

The provider's business location address is:

707 S GARFIELD AVE STE 101
ALHAMBRA, CA
ZIP 91801-860
Phone: (626) 872-0339
Fax: (626) 872-0340

The provider's authorized official is Henry H. Chang .
The authorized official title is Medical Director and has the following contact phone number (626) 588-7789.

The CLIA number assigned to this NPI record is 05D2029186 - 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.

• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Incision to improve eye fluid flow (HCPCS:65820)
• Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
• Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
• Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
• Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)
• Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
• Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)

The enumeration date for this NPI number is 6/29/2011 and was last updated on 8/21/2019.

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: