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General NPI Number Information
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NPI Number | 1508736620
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Entity Type | Organization
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Legal Business Name | CENTURY SURGICAL INSTITUTE LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 607
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City | LOS ANGELES
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State | CA
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Zip | 90067-2009
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Country | US
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Telephone | 818-855-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 2545 N LA CAPELLA CT
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City | ORANGE
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State | CA
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Zip | 92867-1922
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Country | US
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Telephone | 818-855-1557
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASHISH SHAH
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Credential | MD
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Telephone | 818-855-1507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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