Huntington Beach Surgical Arts LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A283239 Issued in CA

Legal business name

HUNTINGTON BEACH SURGICAL ARTS LLC

Practice address

15039 Goldenwest St
Huntington Beach, CA 92647-2710

Phone

(714) 894-8880

Fax

(714) 894-7772

NPI assigned

May 1, 2012

Last updated

Mar 13, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

HB SURGICAL ARTS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Reza H Dehkordi, M.D.

Title

Director

Phone

(714) 894-8880

Specialties & licenses 1

Addresses

Tax ID family

Huntington Beach Surgical Arts LLC2 organizations share this tax ID, including this one

Part of

Huntington Beach Surgical Arts LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• HB Surgical Arts LLC

  • Ambulatory Surgical Clinic/Center
  • Huntington Beach, CA
  • NPI 1346644945
  NPD tax ID

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1326306044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15039 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-894-8880",
            "fax_number": "714-894-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15039 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-894-8880",
            "fax_number": "714-894-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON BEACH SURGICAL ARTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HB SURGICAL ARTS LLC",
        "enumeration_date": "2012-05-01",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "DEHKORDI",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-894-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A283239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Huntington Beach Total Joint Center LLC
• Huntington Beach Villa (Sapphire Pacific)
• Huntington Health Center
• Huntington Pointe Surgery Center
• Huntington Surgery Center, Inc

• Ambulatory Surgical Clinic/Center in Huntington Beach, CA
• Providers in Huntington 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 13, 2015; 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.