Provider Demographics
NPI:1528533254
Name:DOCS SURGICAL HOSPITAL
Entity type:Organization
Organization Name:DOCS SURGICAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-746-5918
Mailing Address - Street 1:8436 W 3RD ST STE 900
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6000 SAN VICENTE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4404
Practice Address - Country:US
Practice Address - Phone:323-930-1040
Practice Address - Fax:323-934-9137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital