Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Avenue Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1558832741

Grand Avenue Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 S Grand Ave Ste 700
Los Angeles, CA 90015-3068
Phone: (213) 866-1900
Fax: (213) 275-1393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1558832741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Horner — Ceo · (925) 984-4734
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020
Mailing address1400 S Grand Ave Ste 700, Los Angeles, CA 90015-3068

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