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NPI Code Detail

MEDICARE: HEALTHCARE PARTNERS ASC-HB, LLC

MEDICARE: HEALTHCARE PARTNERS ASC-HB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterA272769CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A272769OTHERCABUSINEE LICENSE #

General Provider Information

NPI Number : 1205076593
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE PARTNERS ASC-HB, LLC
Provider Business Mailing Address
First Line : P.O. BOX 6400
Second Line :
City : TORRANCE
State : CA
Zip : 90504-6400
Country : US
Telephone Number : 310-525-3868
Fax Number : 310-783-5581
Provider Business Practice Location Address
First Line : 7677 CENTER STREET
Second Line : SUITE 104
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3030
Country : US
Telephone Number : 714-881-8700
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : JOHN G. LIETHEN
Credential :
Telephone Number : 952-205-6262
Provider Enumeration Date : 02/25/2009
Last Update Date : 08/20/2019

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Directions to “HEALTHCARE PARTNERS ASC-HB, LLC ” Practice Location

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