CONGRESS MEDICAL SURGERY CENTER LLC; NPI #1104087089

Contact Information

CONGRESS MEDICAL SURGERY CENTER LLC

800 S RAYMOND AVE
PASADENA, CA 91105

Phone: 626-795-8051
Fax: 626-795-0356
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for CONGRESS MEDICAL SURGERY CENTER LLC

NPI # 1104087089

LBN Legal business name CONGRESS MEDICAL SURGERY CENTER LLC

Authorized official MICHAEL FRAIPONT - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/23/2008

Last updated 10/20/2010 - About 16 years ago

Identifiers

CA	License #	G81716
CA	Other	ZZZH1905D	BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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