# PACIFIC AMBULATORY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1518015924
- **Authorized official:** MS. RASHEL POURI (OWNER)
- **Authorized official phone:** (818) 906-5330

## Contact information

- **Practice address:** 16260 VENTURA BLVD, \#800, ENCINO, CA 91436-2203
- **Practice address phone:** (818) 906-5330
- **Mailing address:** 11999 SAN VICENTE BLVD, \#440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 471-5852
- **Mailing address fax:** (310) 471-3958

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 09/29/2008