CANAAN SURGERY CENTER, INC. (NPI# 1407201676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407201676 |
| Entity Type | Organization |
| Organization Name | CANAAN SURGERY CENTER, INC. |
| Practice Address |
903 Crenshaw Blvd Suite 200 Los Angeles CA 90019-1964 |
| Practice Telephone | 3239096644 |
| Mailing Telephone | 3239096644 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | DR. WALTER JUNG KIM (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3239096644 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
903 CRENSHAW BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914254 | Hasung Lee Md Pediatic Clinic | Pediatrics | 903 Crenshaw Blvd, #104, Los Angeles, CA 90019 | 2006-06-28 |
| 1235670969 | Youn Kgan Kim | Acupuncturist | 903 Crenshaw Blvd, #302, Los Angeles, CA 90019-1964 | 2017-03-14 |
| 1760831853 | Eun Kyung Bae | Occupational Therapist | 903 Crenshaw Blvd, #301, Los Angeles, CA 90019-1964 | 2016-06-08 |
| 1932591575 | Won Jung Choi | Acupuncturist | 903 Crenshaw Blvd, 304, Los Angeles, CA 90019-1964 | 2015-02-18 |
| 1881959500 | Michelle Dinh Nguyen Md A Medical Corporation | Anesthesiology | 903 Crenshaw Blvd, Ste.#200, Los Angeles, CA 90019-1964 | 2012-07-09 |
| 1205142809 | Cathy Kyonghee Kim | Acupuncturist | 903 Crenshaw Blvd, Suite 204, Los Angeles, CA 90019-1964 | 2010-08-20 |
| 1225343106 | Sunny Suneui Kim | Acupuncturist | 903 Crenshaw Blvd, #105, Los Angeles, CA 90019 | 2010-08-16 |
| 1962664862 | Youngbae Kim | Dentist | 903 Crenshaw Blvd, #303, Los Angeles, CA 90019-1964 | 2008-07-01 |
| 1285805002 | Sung Ho Chin | Occupational Therapist | 903 Crenshaw Blvd, Ste 301, Los Angeles, CA 90019-1967 | 2008-03-19 |
| 1265626972 | Dream Physical Therapy Inc | Physical Therapist | 903 Crenshaw Blvd, Suite 310, Los Angeles, CA 90019-1964 | 2007-09-05 |
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|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1659926327 | Westside Anesthesia Group A Medical Corporation | Clinic/Center | 1964 Westwood Blvd Ste 436, Los Angeles, CA 90025-4695 | 2019-08-08 |
| 1558832741 | Grand Avenue Surgery Center, LLC | Clinic/Center | 1513 S Grand Ave Ste 350, Los Angeles, CA 90015-3075 | 2018-12-16 |
| 1700351194 | Integrative Surgical Associates Group, LLC. | Clinic/Center | 5757 Wilshire Blvd # P2, Los Angeles, CA 90036-5810 | 2018-10-11 |
| 1982180782 | Robertson Surgery Center Inc. | Clinic/Center | 822 S Robertson Blvd Ste 100b, Los Angeles, CA 90035-1613 | 2018-07-14 |
| 1972055382 | Alliance Surgery Partners, LLC | Clinic/Center | 1828 E Cesar Chavez Ave, Los Angeles, CA 90033-2424 | 2016-11-02 |
| 1164895744 | Los Angeles Ambulatory Surgery Center LLC | Clinic/Center | 266 S Harvard Blvd Ste 200, Los Angeles, CA 90004-4339 | 2015-11-04 |
| 1255752747 | Elite Surgery Center of Beverly Hills | Clinic/Center | 6310 San Vicente Blvd Ste 101b, Los Angeles, CA 90048-5498 | 2013-12-30 |
| 1942548003 | Sierra Surgical Services, LLC | Clinic/Center | 2202 S Figueroa St # 6601, Los Angeles, CA 90007-2049 | 2013-01-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.