NPIMap

Organization Active NPI

Doheny Sunset Surgery Center

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1770913501
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A30278 Issued in ZZ
Legal business name
DOHENY SUNSET SURGERY CENTER
Practice address
9201 W Sunset Blvd Ste 910
Los Angeles, CA 90069-3710
Phone
(310) 276-1184
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Raja K Srour, M.D.NPI 1407999113
Title
Operating Surgeon
Phone
(310) 276-1184

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A30278 ZZ Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 910
Los Angeles, CA 90069-3710

Mailing address

9201 W Sunset Blvd Ste 910
Los Angeles, CA 90069-3710
Phone (310) 276-1184

National Provider Directory

National Provider Directory

Locations

9201 W Sunset Blvd
Ste 910
Los Angeles, CA 90069
Phone (310) 276-1184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1770913501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693710",
            "telephone_number": "310-276-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693710",
            "telephone_number": "310-276-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHENY SUNSET SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "SROUR",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATING SURGEON",
        "authorized_official_telephone_number": "310-276-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ZZ",
            "license": "A30278",
            "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 Nov 14, 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.