NPIMap

Organization Active NPI

New Age Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1770856205
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEW AGE SURGERY CENTER
Practice address
903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966
Phone
(323) 937-3333
Fax
(323) 937-4933
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966

Mailing address

903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966
Phone (323) 937-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1770856205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191966",
            "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 CRENSHAW BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191966",
            "telephone_number": "323-937-3333",
            "fax_number": "323-937-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-937-3333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Feb 14, 2012; 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.