El Segundo Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EL SEGUNDO ENDOSCOPY CENTER LLC

Practice address

2110 E El Segundo Blvd Ste 120
El Segundo, CA 90245-4547

Phone

(310) 375-1246

NPI assigned

Dec 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suzette S. Chan

Title

Clinical Director

Phone

(310) 935-5673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

El Segundo Endoscopy Center LLCCCN 55C0001123

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Torrance Memorial Medical Center

  • Community Based Hospice Care Agency
  • Torrance, CA
  • NPI 1952480170

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1073272811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054756",
            "telephone_number": "310-375-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E EL SEGUNDO BLVD STE 120",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454547",
            "telephone_number": "310-375-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SEGUNDO ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-935-5673"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle-Olivier Efole
• Makayla Eggleston
• Kayla Christine Eichaker
• Eileen J. Bell
• El Segundo Dermatology, Inc.
• El Segundo Medical Center Inc
• El Segundo Medical Center Inc.
• El Segundo Pharmacy Inc
• El Segundo Unified School District
• Layla El-Hiraki

• Ambulatory Surgical Clinic/Center in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.