# SOUTHERN CALIFORNIA STONE CENTER

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

## Provider details

- **NPI number:** 1831235878
- **Authorized official:** CATHERINE LLAVANES (CEO/ OWNER)
- **Authorized official phone:** (818) 453-6963

## Contact information

- **Practice address:** 5400 BALBOA BLVD STE 111, ENCINO, CA 91316-5206
- **Practice address phone:** (818) 784-8975
- **Practice address fax:** (818) 784-7467
- **Mailing address:** 5400 BALBOA BLVD STE 111, ENCINO, CA 91316-5206
- **Mailing address phone:** (814) 453-6963
- **Mailing address fax:** (310) 695-2986

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 11/13/2024