Socal Surgical Specialties, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOCAL SURGICAL SPECIALTIES, LLC.

Practice address

900 Wilshire Blvd
Santa Monica, CA 90401-1872

Phone

(310) 315-9211

NPI assigned

Aug 23, 2018

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chia C Kao, MD

Title

President

Phone

(310) 315-9211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1538640958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-315-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-315-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL SURGICAL SPECIALTIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "CHIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-315-9211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sobel, LVN
• Juan Luis Soberal II, PT, DPT, FAFS
• Noel Elatico Sobing, RN
• Socal Diagnostic
• Socal Med Group, Inc.
• Julia Corina Socolovsky
• Ari Sofer, PTA
• Soheil Najibi, MD PHD
• Nancy Ilene Sokolow, LCSW
• Maura Estela Solano, MSW, ACSW, PPSC

• Ambulatory Surgical Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, 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 Oct 17, 2019; 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.