Organization
NATIONS SURGERY CENTERS LP
Active
Other names
Four Seasons Surgery Centers of Encino
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SANDS (CONTRACTING MANAGER)
(702) 949-7825
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD, 3RD FLOOR, ENCINO, CA 91316-2804
(818) 793-2050
(818) 793-2059
Mailing address
5353 BALBOA BLVD, 3RD FLOOR, ENCINO, CA 91316-2804
(818) 793-2050
(818) 793-2059
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
10/19/2006
Last updated
11/09/2007
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