GREAT LIFE SURGERY CENTER INC


Address: 3445 Pacific Coast Hwy # 250, Torrance, CA 90505-6658
Phone: 3103269080

GREAT LIFE SURGERY CENTER INC (NPI# 1265895858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265895858
Entity Type Organization
Organization Name GREAT LIFE SURGERY CENTER INC
Practice Address 3445 Pacific Coast Hwy # 250
Torrance
CA 90505-6658
Practice Telephone 3103269080
Practice Fax Number 3103268308
Mailing Telephone 3103269080
Mailing Fax Number 3103268308
Enumeration Date 2016-03-31
Last Update Date 2019-04-09
Authorized Official Name BELLA M SHKLYARENKO (MANAGER)
Authorized Official Telephone 3103269080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 3445 PACIFIC COAST HWY # 250
City TORRANCE
State CA
Zip Code 90505-6658

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1730606724 Center for Total Beauty Surgery, LLC Clinic/Center 1231 Cabrillo Ave Ste 201a, Torrance, CA 90501-2867 2017-08-29
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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
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1104922772 Lindon Ken Kawahara Md Dmd Clinic/Center 22410 Hawthorne Blvd, Suite 3, Torrance, CA 90505-2539 2006-09-14
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Competitor

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City TORRANCE
Zip Code 90505

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Dataset Information

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.

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