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CLOVER SURGICAL CENTER INC. A CALIFORNIA CORPORATION NPI 1619368248


NPI Information

NPI: 1619368248
Provider Name: CLOVER SURGICAL CENTER, INC., A CALIFORNIA CORPORATION
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
12134 VICTORY BLVD
SUITE E
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 762-8702
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CLOVER SURGICAL CENTER, INC., A CALIFORNIA CORPORATION is an ambulatory surgical clinic center in North Hollywood, CA. CLOVER SURGICAL CENTER, INC., A CALIFORNIA CORPORATION NPI is 1619368248. The provider is registered as an organization entity type.

The provider's business location address is:

12134 VICTORY BLVD
SUITE E
NORTH HOLLYWOOD, CA
ZIP 91606-205
Phone: (818) 762-8702
Fax: (818) 761-2583

The provider's authorized official is Mitchell Paul Rubin .
The authorized official title is Administrator and has the following contact phone number (818) 415-3205.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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