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

San Vicente Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1932275054

San Vicente Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

11645 Wilshire Blvd Ste 987
Los Angeles, CA 90025-6814
Phone: (310) 289-8600
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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 · Licence 261QA1903X (CA)

Record details

NPI number1932275054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Brourman — Governing Body · (310) 289-8600
NPI enumeratedNovember 28, 2006
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address11645 Wilshire Blvd Ste 987, Los Angeles, CA 90025-6814

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