Provider Demographics
NPI:1972055382
Name:ALLIANCE SURGERY PARTNERS, LLC
Entity Type:Organization
Organization Name:ALLIANCE SURGERY PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, GOVERNING BODY
Authorized Official - Prefix:DR
Authorized Official - First Name:RAID
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-263-6774
Mailing Address - Street 1:1828 E CESAR CHAVEZ AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2424
Mailing Address - Country:US
Mailing Address - Phone:323-263-6774
Mailing Address - Fax:
Practice Address - Street 1:1828 E CESAR CHAVEZ AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2424
Practice Address - Country:US
Practice Address - Phone:323-263-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical