ASI SURGERY CENTER INC. NPI 1215286083

NPI Information

NPI: 1215286083
Provider Name: ASI SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2155301

Address:
4836 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 907-7546
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ASI SURGERY CENTER, INC. is an ambulatory surgical clinic center in Sherman Oaks, CA. ASI SURGERY CENTER, INC. NPI is 1215286083. The provider is registered as an organization entity type.

The provider's business location address is:

4836 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403-101
Phone: (818) 907-7546

The provider's authorized official is Ilya Reyter .
The authorized official title is President and has the following contact phone number (818) 907-7546.

The CLIA number assigned to this NPI record is 05D2155301 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 8/3/2022.

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			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

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