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Organization
PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC
Active
Organization
PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA MICHELLE ALTIS-PARKHURST RN (ADMINISTRATIVE DIRECTOR)
(818) 863-4225
Entity
Organization
Contact information
Practice address
1500 E CHEVY CHASE DR, SUITE #101, GLENDALE, CA 91206-4152
(818) 863-4225
(818) 863-4943
Mailing address
1500 E CHEVY CHASE DR, SUITE #101, GLENDALE, CA 91206-4152
(818) 863-4225
(818) 863-4943
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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