PRIME HEALTHCARE ASC - NORTHRIDGE LLC NPI 1407529845

NPI Information

NPI: 1407529845
Provider Name: PRIME HEALTHCARE ASC - NORTHRIDGE LLC

Doing Business As: PRIME HEALTHCARE SURGICAL CENTER OF THE VALLEY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
19331 BUSINESS CENTER DR STE 102
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 709-5555
Get Directions

PRIME HEALTHCARE ASC - NORTHRIDGE LLC is an ambulatory surgical clinic center in Northridge, CA. PRIME HEALTHCARE ASC - NORTHRIDGE LLC NPI is 1407529845. The provider is registered as an organization entity type.
The provider Is Doing Business As Prime Healthcare Surgical Center Of The Valley.

The provider's business location address is:

19331 BUSINESS CENTER DR STE 102
NORTHRIDGE, CA
ZIP 91324-533
Phone: (818) 709-5555

The provider's authorized official is Christopher Doan .
The authorized official title is Managing Associate General Counsel and has the following contact phone number (310) 259-4706.

The CLIA number assigned to this NPI record is 05D2162261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 9/15/2021.

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »