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SELECT SURGICAL, LLC
NPI 1467996793
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since December 06, 2016CLIA 05D2148777 · Waiver
3617 AVALON BLVD STE 100, LOS ANGELES, CA 90011(213) 550-1201(213) 935-8566 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Select Surgical, Llc NPPES

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

SELECT SURGICAL, LLC (NPI 1467996793) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Jennifer Hertz, President, as its authorized official.

NPPES Registry Identity

NPI1467996793
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSELECT SURGICAL, LLC
Location Address3617 AVALON BLVD STE 100Los Angeles, CA 90011-5601
Mailing Address1223 Wilshire Blvd, Suite 594Santa Monica, CA 90403-5406
Phone(213) 550-1201
Fax(213) 935-8566
Organization SubpartNo
Authorized OfficialJennifer HertzPresident · (323) 445-6249
Enumeration DateDecember 6, 2016
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1467996793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3617 AVALON BLVD STE 100, Los Angeles, CA 90011
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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 05D2148777

Select Surgical LLC · Los Angeles, CA
Active · expires May 17, 2028
CLIA Number05D2148777
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorJennifer Hertz
Laboratory Phone(323) 445-6249
Laboratory LocationSelect Surgical LLC3617 Avalon Blvd, Los Angeles, CA 90011
CLIA data matches this NPI record on: Address 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 Select Surgical, LLC's NPI number?

The NPI number for Select Surgical, LLC is 1467996793. It was assigned to this organization in the NPPES registry on December 6, 2016.

Where is Select Surgical, LLC located?

Select Surgical, LLC is located at 3617 Avalon Blvd Ste 100, Los Angeles, CA 90011. The listed phone number is (213) 550-1201.

What is Select Surgical, LLC's specialty?

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

Does Select Surgical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2148777) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Select Surgical, LLC was last updated on May 11, 2021. 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.