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

Modesto Specialty Surgery Center PC

Organization Ambulatory Surgical Clinic/Center · NPI 1205177235

Modesto Specialty Surgery Center PC is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10884 Santa Monica Blvd #300
Los Angeles, CA 90025-4646
Phone: (310) 993-8994
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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
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X (CA)

Record details

NPI number1205177235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — President · (310) 993-8994
NPI enumeratedMarch 15, 2013
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 16297, Beverly Hills, CA 90209-2297

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