Organization
ENCINO SURGICAL INSTITUTE,A.M.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA VENTURA (BILLER)
(310) 975-1881
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD STE 210, ENCINO, CA 91436-2231
(818) 817-0600
(866) 586-9678
Mailing address
PO BOX 108, BEVERLY HILLS, CA 90213-0108
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C2307838
CA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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