# LA/OC SURGICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184894693
- **Authorized official:** GREGORY F. ROSEN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 318-5939

## Contact information

- **Practice address:** 510 N PROSPECT AVE, SUITE 202, REDONDO BEACH, CA 90277-3028
- **Practice address phone:** (310) 318-5939
- **Mailing address:** 510 N PROSPECT AVE, SUITE 202, REDONDO BEACH, CA 90277-3028
- **Mailing address phone:** (310) 318-5939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G54762 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008