Provider Demographics
NPI:1336505460
Name:WEST COAST SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:WEST COAST SURGICAL ASSOCIATES
Other - Org Name:SINAI CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESDIENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GUVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:UZUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-867-5556
Mailing Address - Street 1:5450 LINCOLN BLVD
Mailing Address - Street 2:545
Mailing Address - City:PLAYA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:90094-2002
Mailing Address - Country:US
Mailing Address - Phone:310-305-9200
Mailing Address - Fax:
Practice Address - Street 1:5450 PACIFIC COAST HWY
Practice Address - Street 2:545
Practice Address - City:PLAYA VISTA
Practice Address - State:CA
Practice Address - Zip Code:90094-2002
Practice Address - Country:US
Practice Address - Phone:310-305-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72928261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical