NM Golden State Surgical Servic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NM GOLDEN STATE SURGICAL SERVIC

Practice address

2202 S Figueroa St # 600
Los Angeles, CA 90007-2049

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Annette Fischer

Title

Medical Biller

Phone

(520) 547-4130

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1801199765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S FIGUEROA ST # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072049",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S FIGUEROA ST # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072049",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM GOLDEN STATE SURGICAL SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "520-547-4130"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "261QA1903X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.