# KIOWA ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922286855
- **Authorized official:** DR. NOEL L CHUN M.D. (MEMBER)
- **Authorized official phone:** (310) 374-4176

## Contact information

- **Practice address:** 555 PIER AVE, SUITE 1-A, HERMOSA BEACH, CA 90254-3839
- **Practice address phone:** (310) 374-4176
- **Practice address fax:** (310) 374-4175
- **Mailing address:** 555 PIER AVE, SUITE 1-A, HERMOSA BEACH, CA 90254-3839
- **Mailing address phone:** (310) 374-4176
- **Mailing address fax:** (310) 374-4175

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 02/01/2008