Advanced Surgical Center Of Encino, LLC
Clinic/Center, Multi-Specialty in Encino, CA. Organization (NPI-2).
NPI number1295106953
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1295106953
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Surgical Center Of Encino, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 7, 2015
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Asc Of Encino (Other Name)
Practice location
5353 Balboa BlvdSuite 302
Encino, CA 91316-2804
Phone 818-946-7800
Mailing address
550 N Brand Blvd Ste 900Glendale, CA 91203-4721
Authorized official
Caroline Nicole Singer
Chief Executive Officer
8189379969
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