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MID-WILSHIRE SURGERY CENTER,LLC
NPI 1003933011
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since March 23, 2007CLIA 05D0944363 · Waiver
5757 WILSHIRE BLVD # 376, LOS ANGELES, CA 90036(323) 935-9367(323) 525-1850 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid-wilshire Surgery Center,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-WILSHIRE SURGERY CENTER,LLC (NPI 1003933011) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Andrew K Choi, Administator, as its authorized official.

NPPES Registry Identity

NPI1003933011
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMID-WILSHIRE SURGERY CENTER,LLC
Location Address5757 WILSHIRE BLVD # 376Los Angeles, CA 90036-5810
Mailing Address5757 Wilshire Blvd # 376Los Angeles, CA 90036-5810 · (323) 935-9367 · Fax (323) 525-1850
Phone(323) 935-9367
Fax(323) 525-1850
Organization SubpartNo
Authorized OfficialAndrew K ChoiAdministator · (323) 935-9367
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003933011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5757 WILSHIRE BLVD # 376, Los Angeles, CA 90036
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Other Identifiers 1

Medicaid5224032CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0944363

Mid Wilshire Surgery Center · Los Angeles, CA
Active · expires Jan 5, 2027
CLIA Number05D0944363
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorBill J. Kim
Laboratory Phone(323) 935-9367
Laboratory LocationMid Wilshire Surgery Center5757 Wilshire Blvd Ste 376, Los Angeles, CA 90036
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Wilshire Surgery Center,llc's NPI number?

The NPI number for Mid-Wilshire Surgery Center,llc is 1003933011. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Mid-Wilshire Surgery Center,llc located?

Mid-Wilshire Surgery Center,llc is located at 5757 Wilshire Blvd # 376, Los Angeles, CA 90036. The listed phone number is (323) 935-9367.

What is Mid-Wilshire Surgery Center,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mid-Wilshire Surgery Center,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944363) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid-Wilshire Surgery Center,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.