ELITE SURGERY CENTER OF SOUTH BAY LLC (NPI# 1205448750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205448750 |
| Entity Type | Organization |
| Organization Name | ELITE SURGERY CENTER OF SOUTH BAY LLC |
| Practice Address |
20528 Hawthorne Blvd Ste 301 Torrance CA 90503-3202 |
| Practice Telephone | 4242479090 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | DR. MEHRAN TABAN (CHAIRMAN, GOVERNING BODY) |
| Authorized Official Telephone | 4242479090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
20528 HAWTHORNE BLVD STE 301 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194299586 | Concierge Surgery Center | Clinic/Center | 23365 Hawthorne Blvd Ste 103, Torrance, CA 90505-3736 | 2019-01-18 |
| 1568944833 | Goodlife Surgery Center LLC | Clinic/Center | 1231 Cabrillo Ave Unit 201a, Torrance, CA 90501-2867 | 2018-09-04 |
| 1730606724 | Center for Total Beauty Surgery, LLC | Clinic/Center | 1231 Cabrillo Ave Ste 201a, Torrance, CA 90501-2867 | 2017-08-29 |
| 1265895858 | Great Life Surgery Center Inc | Clinic/Center | 3445 Pacific Coast Hwy # 250, Torrance, CA 90505-6658 | 2016-03-31 |
| 1932560208 | Advanced Surgical Center of Torrance, LLC | Clinic/Center | 22525 Maple Ave Ste 101, Torrance, CA 90505-2700 | 2016-03-15 |
| 1376923714 | Pacific West Surgery Center, LLC | Clinic/Center | 23000 Crenshaw Blvd Ste 101, Torrance, CA 90505-3052 | 2015-06-01 |
| 1447476668 | Sba Outpatient Surgery Center, Inc | Clinic/Center | 3600 Lomita Boulevard, Suite 101, Torrance, CA 90505-3900 | 2007-04-17 |
| 1790909117 | Sharp Surgery Center | Clinic/Center | 2557 Pacific Coast Highway, Torrance, CA 90505 | 2007-04-13 |
| 1104922772 | Lindon Ken Kawahara Md Dmd | Clinic/Center | 22410 Hawthorne Blvd, Suite 3, Torrance, CA 90505-2539 | 2006-09-14 |
| 1497794804 | Baycities Surgery Center Lp | Clinic/Center | 23500 Madison St, Torrance, CA 90505-4702 | 2006-06-05 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.