MEDICARE: CENTURY PARK AMBULATORY SURGICAL CENTER, 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
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1396224143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURY PARK AMBULATORY SURGICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	PO BOX 8636
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91372-8636
Country	:	US
Telephone Number	:	650-440-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E STE 1111
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2029
Country	:	US
Telephone Number	:	650-440-2020
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ELENA SERDA
Credential	:
Telephone Number	:	650-440-2020

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	03/17/2025

Similar Medicare Providers

1164616652 — ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION
Practice Location Address:

2080 CENTURY PARK EAST , SUITE 1111
LOS ANGELES, CA
90067-2029

Practice Phone: 858-451-2280
Practice Fax: 858-451-2280

1194987339 — DR. MARK STEVEN LIPIAN M.D., PH.D.
Practice Location Address:

2029 CENTURY PARK EAST , SUITE 2890
LOS ANGELES, CA
90067-2901

Practice Phone: 310-203-3919
Practice Fax: 310-203-3924

1568860823 — JAYCEE JAMES NON PHYSICIAN
Practice Location Address:

2029 CENTURY PARK E
LOS ANGELES, CA
90067

Practice Phone: 760-205-9006
Practice Fax:

1811346281 — RANDY WYNGLASS
Practice Location Address:

2029 CENTURY PARK E
LOS ANGELES, CA
90067-2901

Practice Phone: 619-804-9157
Practice Fax:

1063953552 — SIMRAT SHERGILL NP
Practice Location Address:

2029 CENTURY PARK E STE 400
LOS ANGELES, CA
90067-2905

Practice Phone: 800-465-3203
Practice Fax:

1568973741 — ALEXA WELLCARE LLC
Practice Location Address:

2029 CENTURY PARK E STE 400
LOS ANGELES, CA
90067-2905

Practice Phone: 310-990-7249
Practice Fax:

Directions to “CENTURY PARK AMBULATORY SURGICAL CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.