Del Rey Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000878 Issued in CA

Legal business name

DEL REY SURGERY CENTER LLC

Practice address

4640 Admiralty Way
Suite 1020
Marina del Rey, CA 90292-6621

Phone

(310) 305-1020

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Tzadik, M.D.

Title

Medical Director

Phone

(310) 305-1020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1245351865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 1020",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-305-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 1020",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-305-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL REY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "TZADIK",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "310-305-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daz Foundation
• David Leroy De Lange, MFT, PH.D
• Dean Plastic Surgery Associates, Inc.
• Shay Byron Dean, MD
• Del Rey Sinus & Allergy Institute Inc
• Del Rey Surgery Center, Inc.
• Design Dental Spa
• Sonia Devgan-Kacker, MD
• Manvir Singh Dhillon, MD
• Diagnostic and Interventional Surgical Center

• Ambulatory Surgical Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, 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 Jul 22, 2013; 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.