Organization
PACIFIC AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RASHEL POURI (OWNER)
(818) 906-5330
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, #800, ENCINO, CA 91436-2203
(818) 906-5330
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
09/29/2008
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