Active NPI
Sunset Tower Surgery Center, LLC
- Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1871329615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- SUNSET TOWER SURGERY CENTER, LLC
- Practice address
- 9201 W Sunset Blvd Ste 405
Los Angeles, CA 90069-3705 - Phone
- (310) 887-1730
- Fax
- (310) 887-1733
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Louis Matlock, MD, MBA
- Title
- Medical Director
- Phone
- (310) 859-9052
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary | ||
| Plastic Surgery Physician | 208200000X |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 405
Los Angeles, CA 90069-3705
Mailing address
9201 W Sunset Blvd Ste 405
Los Angeles, CA 90069-3705
Phone (310) 887-1730
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1063629673
Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1871329615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693705",
"telephone_number": "310-887-1730",
"fax_number": "310-887-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693705",
"telephone_number": "310-887-1730",
"fax_number": "310-887-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET TOWER SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "MATLOCK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-859-9052",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MBA"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Sunset Hospice and Palliative Care Inc.
- Sunset Hospice Care LLC
- Sunset Optometric Center a Professional Corporation (Dr. Romeo J. Garza - Optometrist)
- Sunset Surgicenter
- Sunset Tower Surgery Center LLC
- Sunset Urgent Care Medical Center
- Sunshine Administrative Services LLC
- Elyse Sunshine
- Samantha Sunshine, RN
- Michael Sunu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.