Active NPI
Larchmont Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
National Provider Identifier
1366863813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LARCHMONT SURGERY CENTER, LLC
- Practice address
- 321 N Larchmont Blvd
Los Angeles, CA 90004-3025 - Phone
- (626) 404-9969
- NPI assigned
- Dec 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Prell
- Title
- Manager
- Phone
- (626) 404-9969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd
Los Angeles, CA 90004-3025
Mailing address
321 N Larchmont Blvd
Los Angeles, CA 90004-3025
Phone (626) 404-9969
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1366863813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "626-404-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "626-404-9969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARCHMONT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-31",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "PRELL",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "626-404-9969",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.