Organization
TARZANA AMBULATORY SURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BROWN ADMINISTRATOR (ADMINISTRATOR)
(818) 791-1398
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE STE 305, TARZANA, CA 91356-1311
(818) 791-1398
(818) 791-1721
Mailing address
5620 WILBUR AVE STE 305, TARZANA, CA 91356-1311
(818) 791-1398
(818) 791-1721
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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