Provider Demographics
NPI:1699420315
Name:SANTE SURGERY CENTER LOS ANGELES
Entity type:Organization
Organization Name:SANTE SURGERY CENTER LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAYEGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-388-4143
Mailing Address - Street 1:2080 CENTURY PARK E STE 500
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2008
Mailing Address - Country:US
Mailing Address - Phone:661-388-4143
Mailing Address - Fax:310-695-2986
Practice Address - Street 1:2080 CENTURY PARK E STE 1111
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2029
Practice Address - Country:US
Practice Address - Phone:833-540-2220
Practice Address - Fax:310-695-2986
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTE HEALTH PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-22
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty