Organization Active NPI

Sypark Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
National Provider Identifier
1770879165
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A48465 Issued in CA
Legal business name
SYPARK SURGERY CENTER INC.
Practice address
23550 Hawthorne Blvd
Suite 210
Torrance, CA 90505-4731
Phone
(310) 378-7445
Fax
(310) 378-7427
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Dr. Omid Alexander Khorram, M.D.NPI 1720041858
Title
Medical Director/Ceo
Phone
(310) 378-7445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A48465 CA Primary

Addresses

Primary practice location

23550 Hawthorne Blvd
Suite 210
Torrance, CA 90505-4731

Mailing address

23550 Hawthorne Blvd
Suite 210
Torrance, CA 90505-4731
Phone (310) 378-7445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1770879165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23550 HAWTHORNE BLVD",
            "address_2": "SUITE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054731",
            "telephone_number": "310-378-7445",
            "fax_number": "310-378-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 HAWTHORNE BLVD",
            "address_2": "SUITE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054731",
            "telephone_number": "310-378-7445",
            "fax_number": "310-378-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYPARK SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "KHORRAM",
        "authorized_official_first_name": "OMID",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "310-378-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A48465",
            "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 Jun 23, 2011; 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.