Organization
VENTANA SURGICAL CENTER, LLC
Active
Other names
Ventana Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
18133 VENTURA BLVD STE 400, TARZANA, CA 91356-3645
(818) 462-0280
(818) 668-6239
Mailing address
18133 VENTURA BLVD STE 400, TARZANA, CA 91356-3645
(818) 462-0280
(818) 668-6239
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
10/27/2020
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