Healthcare Provider Details

I. General information

NPI: 1154880573
Provider Name (Legal Business Name): XCELL SURGERY CENTER 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32144 AGOURA RD STE 200
WESTLAKE VILLAGE CA
91361-4031
US

IV. Provider business mailing address

PO BOX 3129
TORRANCE CA
90510-3129
US

V. Phone/Fax

Practice location:
  • Phone: 805-601-7772
  • Fax: 805-601-7773
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

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: THOMAS APOSTLE
Title or Position: MEMBER
Credential: DO
Phone: 310-892-3902