# PRESTIGE SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1902587637
- **Authorized official:** ARA SALAZAR (MANAGER)
- **Authorized official phone:** (818) 774-2755

## Contact information

- **Practice address:** 18425 BURBANK BLVD STE 105A, TARZANA, CA 91356-2806
- **Practice address phone:** (818) 774-2755
- **Mailing address:** PO BOX 16927, ENCINO, CA 91416-6927
- **Mailing address phone:** (818) 774-2755
- **Mailing address fax:** (818) 343-1677

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 09/19/2023