# NOHO WEST SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1700343431
- **Authorized official:** MR. MITCHELL P RUBIN (ADMINISTRATOR)
- **Authorized official phone:** (818) 415-3205

## Contact information

- **Practice address:** 12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
- **Practice address phone:** (818) 452-4625
- **Practice address fax:** (818) 761-2583
- **Mailing address:** 12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
- **Mailing address phone:** (818) 452-4625
- **Mailing address fax:** (818) 761-2583

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/28/2019