Organization
MAZZOCCO AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M RAJACICH M.D. (OWNER)
(818) 787-2020
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, VAN NUYS, CA 91405-3605
(818) 787-2020
(818) 787-8652
Mailing address
14914 SHERMAN WAY, VAN NUYS, CA 91405-2113
(818) 787-2020
(818) 787-8652
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
11/21/2005
Last updated
08/22/2023
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