# ELITE OUTPATIENT SURGICAL INSTITUTE, INC

> 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
- **Other names:** Prime Surgical Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285365437
- **Authorized official:** SHAWN RABBANI DPM (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 774-1309

## Contact information

- **Practice address:** 18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
- **Practice address phone:** (818) 774-1309
- **Practice address fax:** (818) 774-9719
- **Mailing address:** 18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
- **Mailing address phone:** (818) 774-1309
- **Mailing address fax:** (818) 774-9719

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2022
- **Last updated:** 09/26/2022