# THIRD STREET SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Third Street Surgery Center LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144370594
- **Authorized official:** ALEX LIU MD (VICE PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (213) 617-9194

## Contact information

- **Practice address:** 420 E 3RD ST STE 110, LOS ANGELES, CA 90013-1645
- **Practice address phone:** (213) 617-9194
- **Mailing address:** 420 E 3RD ST, SUITE 110, LOS ANGELES, CA 90013-1644
- **Mailing address phone:** (213) 617-9194
- **Mailing address fax:** (213) 617-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 930001001 | CA | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 11/04/2021