Organization
TORRANCE CA MULTISPECIALTY ASC LLC
Active
Other names
Surgery Center of South Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
23500 MADISON ST, TORRANCE, CA 90505-4702
(310) 784-2710
(310) 326-9137
Mailing address
23500 MADISON ST, TORRANCE, CA 90505-4702
(310) 784-2710
(310) 326-9137
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00724945
RAILROAD
CA
05
—
SUR01013G
—
CA
Enumeration date
10/18/2007
Last updated
09/07/2023
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