Organization
ELITE OUTPATIENT SURGICAL INSTITUTE, INC
Active
Other names
Prime Surgical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN RABBANI DPM (MEDICAL DIRECTOR)
(818) 774-1309
Entity
Organization
Contact information
Practice address
18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
(818) 774-1309
(818) 774-9719
Mailing address
18909 SHERMAN WAY, SUITE C, RESEDA, CA 91335-6184
(818) 774-1309
(818) 774-9719
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
09/26/2022
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