Organization Active NPI

Sunset Tower Surgery Center LLC

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1891333886
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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
NPI assigned
Dec 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Richard Matlock
Title
Coo
Phone
(310) 435-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

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 Directory

Locations

9201 W Sunset Blvd
Ste 405
West Hollywood, CA 90069
Phone (310) 877-1730

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1891333886",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET TOWER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-435-8864"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "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 Dec 20, 2019; 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.