Organization
ASI SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA REYTER M.D. (PRESIDENT)
(818) 907-7546
Entity
Organization
Contact information
Practice address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
Mailing address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
08/03/2022
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