National Provider Identifier Database

AZUSA SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

AZUSA SURGERY CENTER LLC
830 S. CITRUS AVE
SUITE 101
AZUSA, CA91702
Phone: 626-543-1560
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for AZUSA SURGERY CENTER LLC

NPI Number 1114043858
Legal business name
LBN
AZUSA SURGERY CENTER LLC
Authorized official CLAYTON VARGA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/22/2007
Last updated 03/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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