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Organization
ELITE OUTPATIENT SURGICAL INSTITUTE, INC
Active
Organization
ELITE OUTPATIENT SURGICAL INSTITUTE, INC
Active
Other names
Prime Surgical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN RABBANI DPM (MEDICAL DIRECTOR)
(818) 774-1309
Entity
Organization
Contact information
Practice address
18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
(818) 774-1309
(818) 774-9719
Mailing address
18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
(818) 774-1309
(818) 774-9719
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/20/2022
Last updated
09/26/2022
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