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STAR AMBULATORY SURGERY CENTER, INC.
NPI 1407357601
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since February 22, 2018CLIA 05D2167317 · Waiver
903 CRENSHAW BLVD STE 200, LOS ANGELES, CA 90019(323) 937-3333(323) 937-4933 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2020, Feb 5, 2019, Feb 22, 2018 (3 updates tracked since 2018).

About Star Ambulatory Surgery Center, Inc. NPPES

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

STAR AMBULATORY SURGERY CENTER, INC. (NPI 1407357601) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Yong Tai Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407357601
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTAR AMBULATORY SURGERY CENTER, INC.
Location Address903 CRENSHAW BLVD STE 200Los Angeles, CA 90019-1966
Mailing Address903 Crenshaw Blvd Ste 200Los Angeles, CA 90019-1966 · (323) 937-3333 · Fax (323) 937-4933
Phone(323) 937-3333
Fax(323) 937-4933
Organization SubpartNo
Authorized OfficialYong Tai LeeCeo · (323) 731-0681
Enumeration DateFebruary 22, 2018
Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration
✔ NPI 1407357601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
903 CRENSHAW BLVD STE 200, Los Angeles, CA 90019
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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 05D2167317

Star Ambulatory Surgery Center, Inc · Los Angeles, CA
Active · expires Jun 4, 2027
CLIA Number05D2167317
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorYong Tai Lee
Laboratory Phone(323) 937-3333
Laboratory LocationStar Ambulatory Surgery Center, Inc903 Crenshaw Blvd, Suite #200, Los Angeles, CA 90019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW AGE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
903 CRENSHAW BLVD STE 200
LOS ANGELES, CA 90019
Los Angeles County (323) 937-3333

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 Star Ambulatory Surgery Center, Inc.'s NPI number?

The NPI number for Star Ambulatory Surgery Center, Inc. is 1407357601. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Star Ambulatory Surgery Center, Inc. located?

Star Ambulatory Surgery Center, Inc. is located at 903 Crenshaw Blvd Ste 200, Los Angeles, CA 90019. The listed phone number is (323) 937-3333.

What is Star Ambulatory Surgery Center, Inc.'s specialty?

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

Does Star Ambulatory Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2167317) is associated with this NPI, valid through June 4, 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 Star Ambulatory Surgery Center, Inc. was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.