# AVANI OUTPATIENT SURGICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1457822298
- **Authorized official:** CHARLES K. NEAL M.D. (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 205-9500

## Contact information

- **Practice address:** 16311 VENTURA BLVD., \#710, ENCINO, CA 91436
- **Practice address phone:** (818) 205-9500
- **Practice address fax:** (818) 990-4453
- **Mailing address:** 16311 VENTURA BLVD., \#710, ENCINO, CA 91436
- **Mailing address phone:** (818) 205-9500
- **Mailing address fax:** (818) 990-4453

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 10/11/2022