# NOVA SURGICAL INSTITUTE LLC

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

## Provider details

- **NPI number:** 1265831606
- **Authorized official:** OKSANA KOMOVA (MANAGER)
- **Authorized official phone:** (818) 274-2447

## Contact information

- **Practice address:** 14624 SHERMAN WAY, SUITE 307, VAN NUYS, CA 91405-2241
- **Practice address phone:** (818) 884-5480
- **Mailing address:** 14624 SHERMAN WAY, SUITE 307, VAN NUYS, CA 91405-2241
- **Mailing address phone:** (818) 884-5480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A42285 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 08/21/2014