BUENA VISTA SURGERY CENTER MEDICAL GROUP INC NPI 1407035215

NPI Information

NPI: 1407035215
Provider Name: BUENA VISTA SURGERY CENTER MEDICAL GROUP INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2701 W. ALAMEDA AVENUE
SUITE 401B
BURBANK, CA
ZIP 91505
Phone: (805) 823-6688
Get Directions

BUENA VISTA SURGERY CENTER MEDICAL GROUP INC is an ambulatory surgical clinic center in Burbank, CA. BUENA VISTA SURGERY CENTER MEDICAL GROUP INC NPI is 1407035215. The provider is registered as an organization entity type.

The provider's business location address is:

2701 W. ALAMEDA AVENUE
SUITE 401B
BURBANK, CA
ZIP 91505-409
Phone: (805) 823-6688
Fax: (805) 617-1743

The provider's authorized official is Dave W Odell .
The authorized official title is Managing Member and has the following contact phone number (805) 679-7560.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 9/22/2014.

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		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S051407	MEDICARE PIN	CALIFORNIA

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

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 »