Provider Demographics
NPI:1457677452
Name:TC4S LP
Entity Type:Organization
Organization Name:TC4S LP
Other - Org Name:THE CENTER FOR SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-409-2300
Mailing Address - Street 1:436 N BEDFORD DRIVE, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4323
Mailing Address - Country:US
Mailing Address - Phone:310-409-2300
Mailing Address - Fax:310-839-6752
Practice Address - Street 1:436 N BEDFORD DRIVE, SUITE 101
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4323
Practice Address - Country:US
Practice Address - Phone:310-409-2300
Practice Address - Fax:310-839-6752
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CENTER FOR SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-15
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical