Organization
LUXE SURGICAL CENTER OF ENCINO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA MED SHKLYARENKO (MANAGER)
(818) 430-8954
Entity
Organization
Contact information
Practice address
17525 VENTURA BLVD STE 101, ENCINO, CA 91316-5101
(818) 783-5058
(818) 783-5059
Mailing address
17525 VENTURA BLVD STE 101, ENCINO, CA 91316-5101
(818) 783-5058
(818) 783-5059
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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