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Organization

ENCINO PLACE SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID GEORGE GLICK M.D (PRESIDENT)
(818) 784-9304
Entity
Organization

Contact information

Practice address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
(818) 784-9304
(818) 784-9307
Mailing address
5091 WESTWOOD ST, SIMI VALLEY, CA 93063-0231
(818) 784-9304
(818) 784-9307

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G53604
CA

Other

Enumeration date
03/27/2007
Last updated
08/22/2020
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