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ANTELOPE VALLEY SPECIALTY SURGICAL CENTER LLC NPI 1780108951


NPI Information

NPI: 1780108951
Provider Name: ANTELOPE VALLEY SPECIALTY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2146124

Address:
655 W AVENUE Q
PALMDALE, CA
ZIP 93551
Phone: (818) 348-7246
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ANTELOPE VALLEY SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Palmdale, CA. ANTELOPE VALLEY SPECIALTY SURGICAL CENTER, LLC NPI is 1780108951. The provider is registered as an organization entity type.

The provider's business location address is:

655 W AVENUE Q
PALMDALE, CA
ZIP 93551-894
Phone: (818) 348-7246
Fax: (818) 348-7248

The provider's authorized official is Rebecca Riedel .
The authorized official title is Director Of Nursing and has the following contact phone number (818) 348-7251.

The CLIA number assigned to this NPI record is 05D2146124 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 7/31/2017.


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: 11/14/2023

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