# ENCINO PLAZA SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urological Institute of Southern California
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770525404
- **Authorized official:** MR. MORRIS D LOFFMAN M.D. (MANAGER)
- **Authorized official phone:** (818) 784-8975

## Contact information

- **Practice address:** 5400 BALBOA BLVD, \#111, ENCINO, CA 91316-1502
- **Practice address phone:** (818) 784-8975
- **Practice address fax:** (818) 784-2035
- **Mailing address:** 5400 BALBOA BLVD, \#111, ENCINO, CA 91316-1502
- **Mailing address phone:** (818) 784-8975
- **Mailing address fax:** (818) 784-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 930000931 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/07/2008