Organization
TOLUCA LAKE SURGICAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS TRIPOLSKI (CHAIRMAN, GOVERNING)
(818) 821-3318
Entity
Organization
Contact information
Practice address
10876 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2236
(818) 821-3318
Mailing address
10876 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
05/10/2021
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