Provider Demographics
NPI:1053328781
Name:LOS ALAMITOS SURGERY CENTER LP
Entity Type:Organization
Organization Name:LOS ALAMITOS SURGERY CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:ARELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-795-5600
Mailing Address - Street 1:10921 CHERRY ST
Mailing Address - Street 2:#100
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720
Mailing Address - Country:US
Mailing Address - Phone:562-795-5600
Mailing Address - Fax:562-795-5602
Practice Address - Street 1:10921 CHERRY ST
Practice Address - Street 2:#100
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720
Practice Address - Country:US
Practice Address - Phone:562-795-5600
Practice Address - Fax:562-795-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS051615Medicare ID - Type Unspecified