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Organization
ENCINO PLACE PAIN & SURGERY CENTER LLC
Active
Organization
ENCINO PLACE PAIN & SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBHA JAIN M.D. (PRESIDENT/MANAGER)
(818) 802-3514
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
(818) 802-3514
(818) 582-3594
Mailing address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
(818) 802-3514
(818) 582-3594
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
573912066
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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