# PACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Surgery Center of Santa Monica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689795312
- **Authorized official:** DR. CYNTHIA A. BOXRUD M.D. (DIRECTOR)
- **Authorized official phone:** (310) 829-9060

## Contact information

- **Practice address:** 2021 SANTA MONICA BLVD, SUITE 724E, SANTA MONICA, CA 90404-2208
- **Practice address phone:** (310) 829-9060
- **Practice address fax:** (310) 829-9015
- **Mailing address:** 2021 SANTA MONICA BLVD STE 724E, SANTA MONICA, CA 90404-2170
- **Mailing address phone:** (310) 829-9060
- **Mailing address fax:** (310) 829-9015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S051575 | CA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 02/02/2010