Organization
PACIFIC RITZ SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUHEL SIDDIQUI (CEO)
(818) 827-5100
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 570, ENCINO, CA 91436-4314
(818) 827-5100
Mailing address
16311 VENTURA BLVD STE 570, ENCINO, CA 91436-4314
(818) 827-5100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
12/04/2019
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