Organization Active NPI

Goodlife Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
National Provider Identifier
1568944833
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GOODLIFE SURGERY CENTER LLC
Practice address
1231 Cabrillo Ave Unit 201a
Torrance, CA 90501-2867
Phone
(310) 295-0033
Fax
(310) 961-5942
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Adam M Weitzman, MDNPI 1396800488
Title
Medical Director
Phone
(310) 543-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1231 Cabrillo Ave Unit 201a
Torrance, CA 90501-2867

Mailing address

1231 Cabrillo Ave Ste 201a
Torrance, CA 90501-2867
Phone (310) 295-0033

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2148938Goodlife Surgery Center,LLC1231 Cabrillo Avenue, Suite 201 a, Torrance, CA 90501Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Locations

1231 Cabrillo Ave
Unit 201A
Torrance, CA 90501
Phone (310) 295-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1568944833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE STE 201A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-295-0033",
            "fax_number": "310-961-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE UNIT 201A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-295-0033",
            "fax_number": "310-961-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-543-7779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.