# SAN GABRIEL VALLEY CHILDRENS SURGERY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083575138
- **Authorized official:** JEFFREY WHEELER (CEO)
- **Authorized official phone:** (301) 494-3000

## Contact information

- **Practice address:** 16260 VENTURA BLVD STE 800, ENCINO, CA 91436-4606
- **Practice address phone:** (818) 814-9800
- **Practice address fax:** (818) 814-9888
- **Mailing address:** 16260 VENTURA BLVD STE 800, ENCINO, CA 91436-4606
- **Mailing address phone:** (818) 814-9800
- **Mailing address fax:** (818) 814-9888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025