Provider Demographics
NPI:1619394467
Name:WEST LA SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:WEST LA SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AYKUT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYRAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-744-3288
Mailing Address - Street 1:2080 CENTURY PARK EAST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067
Mailing Address - Country:US
Mailing Address - Phone:626-744-3288
Mailing Address - Fax:626-744-3266
Practice Address - Street 1:2080 CENTURY PARK EAST
Practice Address - Street 2:SUITE 450
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067
Practice Address - Country:US
Practice Address - Phone:626-744-3288
Practice Address - Fax:626-744-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78769207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty