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Organization

EVOLVE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDDIE FOX (CFO)
(818) 922-8565
Entity
Organization

Contact information

Practice address
5353 BALBOA BLVD STE 300, ENCINO, CA 91316-2863
(818) 922-8565
Mailing address
5353 BALBOA BLVD STE 300, ENCINO, CA 91316-2863
(818) 922-8565

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/08/2024
Last updated
01/15/2026
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