Healthcare Provider Details

I. General information

NPI: 1720898174
Provider Name (Legal Business Name): CENTER FOR OUTPATIENT SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

15141 WHITTIER BLVD STE 130
WHITTIER CA
90603-2157
US

IV. Provider business mailing address

15141 WHITTIER BLVD STE 130
WHITTIER CA
90603-2157
US

V. Phone/Fax

Practice location:
  • Phone: 714-223-9000
  • Fax: 714-223-9002
Mailing address:
  • Phone: 714-223-9000
  • Fax: 714-223-9002

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: SUZANNE RICHARDS
Title or Position: MANAGING MEMBER
Credential:
Phone: 714-223-9000