Provider Demographics
NPI:1750439154
Name:SOUTHERN CALIFORNIA SURGERY CENTER, INC
Entity type:Organization
Organization Name:SOUTHERN CALIFORNIA SURGERY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BROWNELL
Authorized Official - Middle Name:HILLIARD
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-560-9292
Mailing Address - Street 1:2621 ZOE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4131
Mailing Address - Country:US
Mailing Address - Phone:323-587-7000
Mailing Address - Fax:323-587-8000
Practice Address - Street 1:2621 ZOE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255
Practice Address - Country:US
Practice Address - Phone:323-584-8222
Practice Address - Fax:323-587-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical