Surfside Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURFSIDE SURGERY CENTER, LLC

Practice address

400 S Sepulveda Blvd Ste 250
Manhattan Beach, CA 90266-6876

Phone

(310) 546-3461

NPI assigned

Oct 18, 2017

Last updated

Nov 13, 2018By 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

Elena Serda

Title

Director

Phone

(310) 546-3461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1538670476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 250",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876",
            "telephone_number": "310-546-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 250",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-546-3461"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan 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 Nov 13, 2018; 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.