RADIANCE SURGERY CENTER LLC NPI 1063924017

NPI Information

NPI: 1063924017
Provider Name: RADIANCE SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5170 SEPULVEDA BLVD STE 240
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 783-5000
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RADIANCE SURGERY CENTER LLC is an ambulatory surgical clinic center in Sherman Oaks, CA. RADIANCE SURGERY CENTER LLC NPI is 1063924017. The provider is registered as an organization entity type.

The provider's business location address is:

5170 SEPULVEDA BLVD STE 240
SHERMAN OAKS, CA
ZIP 91403-190
Phone: (818) 783-5000
Fax: (818) 783-5001

The provider's authorized official is Aziz Berjis .
The authorized official title is President and has the following contact phone number (818) 783-5000.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0003011010-0001-0	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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