# ENCINO SURGICAL INSTITUTE,A.M.C

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

## Provider details

- **NPI number:** 1134271901
- **Authorized official:** MAURA VENTURA (BILLER)
- **Authorized official phone:** (310) 975-1881

## Contact information

- **Practice address:** 16260 VENTURA BLVD STE 210, ENCINO, CA 91436-2231
- **Practice address phone:** (818) 817-0600
- **Practice address fax:** (866) 586-9678
- **Mailing address:** PO BOX 108, BEVERLY HILLS, CA 90213-0108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | C2307838 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020