# STAR AMBULATORY SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1407357601
- **Authorized official:** YONG TAI LEE MD (CEO)
- **Authorized official phone:** (323) 731-0681

## Contact information

- **Practice address:** 903 CRENSHAW BLVD STE 200, LOS ANGELES, CA 90019-1966
- **Practice address phone:** (323) 937-3333
- **Practice address fax:** (323) 937-4933
- **Mailing address:** 903 CRENSHAW BLVD STE 200, LOS ANGELES, CA 90019-1966
- **Mailing address phone:** (323) 937-3333
- **Mailing address fax:** (323) 937-4933

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 01/29/2020