Airport Urgent Care Surgery Center
Organization Active NPI Ambulatory Surgical Clinic/Center · Inglewood, CA
NPI 1891377339 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1891377339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- AIRPORT URGENT CARE SURGERY CENTER
- Practice address
- 1117 W Manchester Blvd Ste M
Inglewood, CA 90301-1596 - Phone
- (310) 299-5404
- Fax
- (310) 602-6287
- NPI assigned
- Apr 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Jamshid Shariati, MD
- Title
- Owner
- Phone
- (310) 403-7809
Practitioners 1
National Provider Directory
Locations
1117 W Manchester Blvd
Ste M
Inglewood, CA 90301
Phone (310) 299-5404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
1117 W Manchester Blvd Ste M
Inglewood, CA 90301-1596
Mailing address
PO Box 11147
Marina del Rey, CA 90295-7147
Phone (310) 299-5404
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All providers in Inglewood, CA · Ambulatory Surgical Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.