Organization
NORTHRIDGE ADVANCED SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C CLOUD III MD (CONSULTANT)
(310) 308-9678
Entity
Organization
Contact information
Practice address
8331 RESEDA BLVD, NORTHRIDGE, CA 91324-4620
(818) 993-3428
(818) 993-3469
Mailing address
8331 RESEDA BLVD, NORTHRIDGE, CA 91324-4620
(818) 993-3428
(818) 993-3469
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
05/14/2008
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