KERLAN-JOBE SURGERY CENTER LLC – NPI #1366408270
Clinic/Center

KERLAN-JOBE SURGERY CENTER LLC is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1366408270 to KERLAN-JOBE SURGERY CENTER LLC on April 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Nov 09, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KERLAN-JOBE SURGERY CENTER LLC below.

NPI Profile for
KERLAN-JOBE SURGERY CENTER LLC

NPI Number
1366408270
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KERLAN-JOBE SURGERY CENTER LLC
Former Legal Business Name: HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC
Other name(s)
All associated names:
Former Legal Business Name
HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC
Doing Business As (dba)
KERLAN-JOBE SURGERY CENTER, LLC
Primary location
6801 PARK TER STE 300
LOS ANGELES, CA 90045-9212
Phone: (310) 665-7200 Fax:
Mailing address
6801 PARK TER
SUITE 300
LOS ANGELES, CA 90045-1543
Phone: (310) 665-7150 Fax:
Organization Subpart
No
Authorized Official
RALPH GAMBARDELLA
PARTNER
Phone: (310) 792-3914
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.