Healthcare Provider Details

I. General information

NPI: 1558807263
Provider Name (Legal Business Name): COVE SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23430 HAWTHORNE BLVD STE 110
TORRANCE CA
90505-4720
US

IV. Provider business mailing address

23430 HAWTHORNE BLVD STE 110
TORRANCE CA
90505-4719
US

V. Phone/Fax

Practice location:
  • Phone: 888-282-7472
  • Fax:
Mailing address:
  • Phone: 310-828-1414
  • 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: SHERYL LEWIN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 310-828-1414