# RAYMOND RENAISSANCE SURGERY CENTER LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871939082
- **Authorized official:** DR. KHALED TAWANSY M.D (OWNER)
- **Authorized official phone:** (323) 257-3300

## Contact information

- **Practice address:** 125 N RAYMOND AVE SUITE 212, PASADENA, CA 91105-4535
- **Practice address phone:** (626) 529-3937
- **Practice address fax:** (626) 529-3844
- **Mailing address:** 7447 N FIGUEROA ST SUITE 200, LOS ANGELES, CA 90041
- **Mailing address phone:** (626) 529-3937
- **Mailing address fax:** (626) 529-3844

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2013
- **Last updated:** 07/21/2022