Organization
SAN FERNANDO VALLEY SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD, SUITE 160, MISSION HILLS, CA 91345-1239
(818) 256-2100
(818) 256-2157
Mailing address
11550 INDIAN HILLS RD, SUITE 160, MISSION HILLS, CA 91345-1239
(818) 256-2100
(818) 256-2157
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR51052H
—
CA
Enumeration date
07/07/2005
Last updated
10/11/2024
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