# CERRITOS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cerritos Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316190077
- **Authorized official:** JAQUI V JAIME (ADMIN)
- **Authorized official phone:** (562) 219-7251

## Contact information

- **Practice address:** 16543 CARMENITA AVENUE, CERRITOS, CA 90703-2218
- **Practice address phone:** (562) 219-7251
- **Practice address fax:** (562) 219-7252
- **Mailing address:** 16543 CARMENITA AVENUE, CERRITOS, CA 90703-2218
- **Mailing address phone:** (562) 219-7251
- **Mailing address fax:** (562) 219-7290

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 11/30/2018