MEDICARE: CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G46653	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053490755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI

Provider Business Mailing Address
First Line	:	PO BOX 3098
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90510-3098
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	855-898-4055

Provider Business Practice Location Address
First Line	:	6076 BRISTOL PKWY STE 108
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-6600
Country	:	US
Telephone Number	:	310-348-9604
Fax Number	:	310-338-1219

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SPENCER LELAND BROWN
Credential	:	MD
Telephone Number	:	310-348-9604

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	05/20/2020

Similar Medicare Providers

1093661944 — ANGELA SHIN
Practice Location Address:

6076 BRISTOL PKWY STE 104
CULVER CITY, CA
90230-6600

Practice Phone: 310-645-1500
Practice Fax:

1649429572 — ACCORD HOME HEALTH SERVICES INC
Practice Location Address:

6076 BRISTOL PKWY , SUITE 202
CULVER CITY, CA
90230-6600

Practice Phone: 310-338-7160
Practice Fax: 310-338-7159

1255624631 — DR. ANDREA FINKELSTEIN SHERMAN OTD, OTR/L
Practice Location Address:

6076 BRISTOL PKWY , SUITE 105
CULVER CITY, CA
90230-6600

Practice Phone: 310-642-7700
Practice Fax: 310-645-0394

1942593918 — PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION
Practice Location Address:

6076 BRISTOL PKWY STE 108
CULVER CITY, CA
90230-6600

Practice Phone: 310-348-9604
Practice Fax:

1154759686 — MRS. KATHLYN FORTUNE MS CCC-SLP
Practice Location Address:

6076 BRISTOL PKWY , STE 105
CULVER CITY, CA
90230-6600

Practice Phone: 310-642-7700
Practice Fax:

1649692260 — CAROL SUZUKI
Practice Location Address:

6076 BRISTOL PKWY , SUITE 105
CULVER CITY, CA
90230-6600

Practice Phone: 562-547-1590
Practice Fax:

Directions to “CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.