Provider Demographics
NPI:1619368719
Name:HEALTHPOINT LOS ANGELES SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:HEALTHPOINT LOS ANGELES SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-846-4155
Mailing Address - Street 1:PO BOX 881840
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90009-3013
Mailing Address - Country:US
Mailing Address - Phone:310-846-4155
Mailing Address - Fax:310-693-9840
Practice Address - Street 1:311 HAIGH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3500
Practice Address - Country:US
Practice Address - Phone:310-846-4155
Practice Address - Fax:310-693-9840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical