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Organization

NOVA SURGICAL INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OKSANA KOMOVA (MANAGER)
(818) 274-2447
Entity
Organization

Contact information

Practice address
14624 SHERMAN WAY, SUITE 307, VAN NUYS, CA 91405-2241
(818) 884-5480
Mailing address
14624 SHERMAN WAY, SUITE 307, VAN NUYS, CA 91405-2241
(818) 884-5480

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A42285
CA

Other

Enumeration date
08/21/2014
Last updated
08/21/2014
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