Los Angeles Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000913 Issued in CA

Legal business name

LOS ANGELES ENDOSCOPY CENTER

Doing business as

Los Angeles Ambulatory Surgery Center

Practice address

266 S Harvard Blvd
Ste 200
Los Angeles, CA 90004

Phone

(213) 387-9000

Fax

(213) 387-5804

NPI assigned

Jan 12, 2007

Last updated

Jun 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Winnie Kim

Title

Billing Manager

Phone

(213) 387-9000

Specialties & licenses 1

Addresses

Other names 1

• LOS ANGELES AMBULATORY SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Los Angeles Endoscopy CenterCCN 05C0001405

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myung Choi, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1679650675
  NPD
• Sivareddy Tegulapalle, MD

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1245302660
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1225188808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044372",
            "telephone_number": "213-387-9000",
            "fax_number": "213-387-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "213-387-9000",
            "fax_number": "213-387-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "213-387-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS ANGELES AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOS ANGELES AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Los Angeles Doctors Corp (los angeles metropolitan medical center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Drugs
• Los Angeles Ear, Nose & Throat Associates
• Los Angeles Ear, Nose & Throat Associates
• Los Angeles ENT Surgical Associates
• Los Angeles Family Medical Services Inc (Los Angeles Family MedicalClinic)
• Los Angeles Gastroenterology Associates Inc
• Los Angeles General Medical Center Foundation, Inc.
• Los Angeles Health Clinic, LLC

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 12, 2018; 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.