# SYPARK SURGERY CENTER INC.

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

## Provider details

- **NPI number:** 1770879165
- **Authorized official:** DR. OMID ALEXANDER KHORRAM M.D. (MEDICAL DIRECTOR/CEO)
- **Authorized official phone:** (310) 378-7445

## Contact information

- **Practice address:** 23550 HAWTHORNE BLVD, SUITE 210, TORRANCE, CA 90505-4731
- **Practice address phone:** (310) 378-7445
- **Practice address fax:** (310) 378-7427
- **Mailing address:** 23550 HAWTHORNE BLVD, SUITE 210, TORRANCE, CA 90505-4731
- **Mailing address phone:** (310) 378-7445
- **Mailing address fax:** (310) 378-7427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A48465 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2011
- **Last updated:** 06/23/2011