Healthcare Provider Details

I. General information

NPI: 1073404083
Provider Name (Legal Business Name): SPIRE SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 28TH ST STE 300
LONG BEACH CA
90806-2776
US

IV. Provider business mailing address

425 15TH ST UNIT 3195
MANHATTAN BEACH CA
90266-7316
US

V. Phone/Fax

Practice location:
  • Phone: 310-331-8433
  • Fax:
Mailing address:
  • Phone: 310-382-7539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PELIN SEN
Title or Position: COO
Credential:
Phone: 818-855-1507