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Organization
SPECIALTY SURGICAL CENTER OF ENCINO LP
Active
Organization
SPECIALTY SURGICAL CENTER OF ENCINO LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
16501 VENTURA BLVD, STE 103, ENCINO, CA 91436-2007
(310) 659-6333
(310) 659-2333
Mailing address
8670 WILSHIRE BLVD, STE 301, BEVERLY HILLS, CA 90211-2924
(310) 659-6333
(310) 659-2333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
07/30/2006
Last updated
02/08/2023
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