La/Oc Surgical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G54762 Issued in CA

Legal business name

LA/OC SURGICAL CENTER, INC.

Practice address

510 N Prospect Ave
Suite 202
Redondo Beach, CA 90277-3028

Phone

(310) 318-5939

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Gregory F. Rosen, M.D.

Title

President

Phone

(310) 318-5939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1184894693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE",
            "address_2": "SUITE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773028",
            "telephone_number": "310-318-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE",
            "address_2": "SUITE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773028",
            "telephone_number": "310-318-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA/OC SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-318-5939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G54762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Redondo Beach, CA
• Providers in Redondo Beach, 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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.