Organization
RADIANCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZ BERJIS DPM (PRESIDENT)
(818) 783-5000
Entity
Organization
Contact information
Practice address
5170 SEPULVEDA BLVD STE 240, SHERMAN OAKS, CA 91403-1190
(818) 783-5000
(818) 783-5001
Mailing address
5170 SEPULVEDA BLVD STE 240, SHERMAN OAKS, CA 91403-1190
(818) 783-5000
(818) 783-5001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0003011010-0001-0
CA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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