Titan Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TITAN AMBULATORY SURGERY CENTER

Practice address

2970 W Olympic Blvd Ste 302
Los Angeles, CA 90006-2518

Phone

(213) 567-3962

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Eric Kim

Title

Administrator

Phone

(213) 500-0900

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1477276608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-567-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-567-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-500-0900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Tischler, CMT
• Phyllis Kirby Tisdale, FNP
• David Mark Tishler, MD
• Tison Dental Corporation, Inc.
• Agnes C Tison, DDS
• Titanium Healthcare, LLC (Titanium Extra Clinic)
• Armen Titizyan, NP
• Lani Norine Tittle
• Mason David Tittle
• Roxanne Tittle

• 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 Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.