Organization Active NPI

Precision Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1407619703
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRECISION SURGICAL CENTER, LLC
Practice address
1125 S Beverly Dr Ste 111
Los Angeles, CA 90035-1149
Phone
(818) 348-7246
NPI assigned
Jan 31, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Rebecca Riedel, RN
Title
Director of Nursing
Phone
(818) 348-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 111
Los Angeles, CA 90035-1149

Mailing address

7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone (818) 348-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1407619703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351149",
            "telephone_number": "818-348-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "818-348-7246",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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 Apr 18, 2024; 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.