GLENDORA SURGERY CENTER – NPI #1811921752
Clinic/Center

GLENDORA SURGERY CENTER is an AHC clinic located in GLENDORA, CA. NPPES has assigned the NPI number 1811921752 to GLENDORA SURGERY CENTER on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 15 years ago on Aug 16, 2011. 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 GLENDORA SURGERY CENTER below.

NPI Profile for
GLENDORA SURGERY CENTER

NPI Number
1811921752
Enumeration Date

(about 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
GLENDORA SURGERY CENTER
Primary location
541 S PASADENA AVE
#101
GLENDORA, CA 91741
Phone: (626) 610-1850 Fax: (626) 963-8691
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NAJIB BOUZ
DIRECTOR
Phone: (626) 963-4124
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.