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PRIME SURGICAL CENTER OF ENCINO LLC NPI 1184029027


NPI Information

NPI: 1184029027
Provider Name: PRIME SURGICAL CENTER OF ENCINO, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2294570

Address:
5353 BALBOA BLVD
SUITE 300
ENCINO, CA
ZIP 91316
Phone: (818) 937-9969
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PRIME SURGICAL CENTER OF ENCINO, LLC is an ambulatory surgical clinic center in Encino, CA. PRIME SURGICAL CENTER OF ENCINO, LLC NPI is 1184029027. The provider is registered as an organization entity type.

The provider's business location address is:

5353 BALBOA BLVD
SUITE 300
ENCINO, CA
ZIP 91316-804
Phone: (818) 937-9969

The provider's authorized official is Caroline Singer .
The authorized official title is Chief Of Operations and has the following contact phone number (818) 937-9969.

The CLIA number assigned to this NPI record is 03D2294570 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 7/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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