Organization
NORTHRIDGE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD ASSOMULL MD (MANAGING MEMBER)
(818) 321-5800
Entity
Organization
Contact information
Practice address
19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324-3533
(818) 709-5555
Mailing address
19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324-3533
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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