Organization
PRIME HEALTHCARE ASC - NORTHRIDGE LLC
Active
Other names
Prime Healthcare Surgical Center of the Valley
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324-3533
(818) 709-5555
Mailing address
3480 E GUASTI RD FL 2, ONTARIO, CA 91761-7684
(310) 259-4706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
09/15/2021
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