# PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760807127
- **Authorized official:** MRS. LORA MICHELLE ALTIS-PARKHURST RN (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (818) 863-4225

## Contact information

- **Practice address:** 1500 E CHEVY CHASE DR, SUITE \#101, GLENDALE, CA 91206-4152
- **Practice address phone:** (818) 863-4225
- **Practice address fax:** (818) 863-4943
- **Mailing address:** 1500 E CHEVY CHASE DR, SUITE \#101, GLENDALE, CA 91206-4152
- **Mailing address phone:** (818) 863-4225
- **Mailing address fax:** (818) 863-4943

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 02/21/2014