Organization Active NPI

Harvard Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1639313844
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
930000919 Issued in CA
Legal business name
HARVARD SURGERY CENTER
Practice address
903 South Crenshaw Blvd.
Suite 200
Los Angeles, CA 90019
Phone
(323) 937-3333
Fax
(323) 937-4933
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Yong Dae Lee, M.D.
Title
Medical Director
Phone
(323) 937-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930000919 CA Primary

Addresses

Primary practice location

903 South Crenshaw Blvd.
Suite 200
Los Angeles, CA 90019

Mailing address

903 South Crenshaw Blvd.
Suite 200
Los Angeles, CA 90019
Phone (323) 937-3333

National Provider Directory

National Provider Directory

Locations

903 Crenshaw Blvd
#2
Los Angeles, CA 90019
Phone (323) 937-3333

903 Crenshaw Blvd
Fl 2
Los Angeles, CA 90019

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1639313844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SOUTH CRENSHAW BLVD.",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90019",
            "telephone_number": "323-937-3333",
            "fax_number": "323-937-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SOUTH CRENSHAW BLVD.",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90019",
            "telephone_number": "323-937-3333",
            "fax_number": "323-937-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "DAE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-937-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.