# CONCOURSE DIAGNOSTIC AND SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONCOURSE DIAGNOSTIC SURGERY CENTER,LLC, CONCOURSE DIAGNOSTIC AND SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932496908
- **Authorized official:** DR. HENRY H. CHANG M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 273-5378

## Contact information

- **Practice address:** 18575 GALE AVE STE 198, CITY OF INDUSTRY, CA 91748-1382
- **Practice address phone:** (626) 965-3880
- **Mailing address:** 18575 E. GALE AVE, STE 198, CITY OF INDUSTRY, CA 91748-1340
- **Mailing address phone:** (626) 965-3880
- **Mailing address fax:** (626) 965-3882

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 04/28/2026