Organization Name: | HB SURGERY CENTER, INC |
NPI Number: | 1053726943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVETTE JIMENEZ (OFFICE MANAGER) |
Mailing Address: | 1601 Pacific Coast Hwy Ste 150 Hermosa Beach |
State: | CA US |
Postal Code: | 902543213 |
Phone Number: | 3104022255 |
Fax Number: | 3103761391 |
NPI Enumeration Date: | 06/30/2014 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | A107345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |