Organization Active NPI

Hermosa Beach Surgery Center, LLC

  • Ambulatory Fertility Facility
  • Hermosa Beach, CA
National Provider Identifier
1609209899
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
HERMOSA BEACH SURGERY CENTER, LLC
Practice address
555 Pier Ave
Hermosa Beach, CA 90254-3839
Phone
(831) 588-7296
Fax
(661) 873-7315
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Lee J Marek, DPM
Title
Secretary
Phone
(831) 588-7296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

555 Pier Ave
Hermosa Beach, CA 90254-3839

Mailing address

555 Pier Ave
Hermosa Beach, CA 90254-3839
Phone (831) 588-7296

National Provider Directory

National Provider Directory

Locations

555 Pier Ave
Hermosa Beach, CA 90254
Phone (310) 374-6600

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1609209899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "831-588-7296",
            "fax_number": "661-873-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "831-588-7296",
            "fax_number": "661-873-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSA BEACH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "831-588-7296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.