ON BEACH SURGERY CENTER, LLC NPI 1003420001

Clinic/Center (Ambulatory Surgical) in Buena Park, CA

NPI 1003420001 Organization Clinic/Center Ambulatory Surgical

About ON BEACH SURGERY CENTER, LLC

On Beach Surgery Center, Llc is a provider established in Buena Park, California specializing in clinic/center (ambulatory surgical) . The NPI number of On Beach Surgery Center, Llc is 1003420001 and was assigned on September 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Phillip Lim Do (Ceo)

NPI

1003420001

Provider NameON BEACH SURGERY CENTER, LLC
Provider Location Address5832 BEACH BLVD SUITE 210 BUENA PARK, CA 90621
Provider Mailing Address5832 BEACH BLVD SUITE 210 BUENA PARK, CA 90621
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-07-2020
Last Update Date11-02-2020


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

ON BEACH SURGERY CENTER, LLC
5832 BEACH BLVD
SUITE 210
BUENA PARK, CA
ZIP 90621
Phone: (714) 515-5300
Fax: (714) 515-5065

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Mailing Address

ON BEACH SURGERY CENTER, LLC
5832 BEACH BLVD
SUITE 210
BUENA PARK, CA
ZIP 90621
Phone: (714) 515-5300
Fax: (714) 515-5065



Authorized Official

Authorized Official NameDR. PHILLIP LIM DO
Authorized Official TitleCEO
Authorized Official Phone(714) 515-5300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.