Organization
PHYSICIANS TERRACE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN SILCOTT M.D. (ADMINISTRATOR)
(818) 409-3575
Entity
Organization
Contact information
Practice address
1500 E. CHEVY CHASE DR., SUITE 101, GLENDALE, CA 91206-4150
(818) 409-3575
(818) 546-5694
Mailing address
381B MERRILL AVE, SUITE 201A, GLENDALE, CA 91206-4119
(818) 409-3575
(818) 546-5694
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
TO BE APPLIED FOR
CA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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