# PREMIERE OUTPATIENT SURGERY CENTER CORP

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

## Provider details

- **NPI number:** 1821650995
- **Authorized official:** MAGUED FADLY M.D. (PRESIDENT, MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 225-0045

## Contact information

- **Practice address:** 7325 MEDICAL CENTER DR \# 103B, WEST HILLS, CA 91307-1925
- **Practice address phone:** (818) 225-0045
- **Mailing address:** PO BOX 5699, SHERMAN OAKS, CA 91413-5699
- **Mailing address phone:** (818) 225-0045

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 10/02/2019