# GLENDALE SURGICAL ASSOCIATES, LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENDALE SURGICAL ASSOCIATES, LP
- **Other names:** Pacific Coast OMS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225385867
- **Legal business name:** GLENDALE SURGICAL ASSOCIATES, LP
- **Authorized official:** MS. DIANNE LAFAURIE (OFFICE MANAGER)
- **Authorized official phone:** (818) 241-4217

## Contact information

- **Practice address:** 23206 LYONS AVE STE 210, NEWHALL, CA 91321-2672
- **Practice address phone:** (661) 259-9750
- **Practice address fax:** (661) 259-9797
- **Mailing address:** 23206 LYONS AVE STE 210, NEWHALL, CA 91321-2672
- **Mailing address phone:** (661) 259-9750
- **Mailing address fax:** (661) 259-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 08/14/2012