# PRIME HEALTHCARE ASC - NORTHRIDGE LLC

> 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 Healthcare Surgical Center of the Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407529845
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324-3533
- **Practice address phone:** (818) 709-5555
- **Mailing address:** 3480 E GUASTI RD FL 2, ONTARIO, CA 91761-7684
- **Mailing address phone:** (310) 259-4706

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 09/15/2021