Healthcare Provider Details

I. General information

NPI: 1245924570
Provider Name (Legal Business Name): PAIN RELIEF SURGERY CENTER OF TORRANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2557 PACIFIC COAST HWY
TORRANCE CA
90505-7035
US

IV. Provider business mailing address

2711 N SEPULVEDA BLVD # 349
MANHATTAN BEACH CA
90266-2725
US

V. Phone/Fax

Practice location:
  • Phone: 661-472-4177
  • Fax:
Mailing address:
  • Phone: 661-472-4177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ELENA SERDA
Title or Position: DIRECTOR
Credential:
Phone: 661-472-4177