Organization
WOODLAKE AMBULATORY SURGERY CENTER
Active
Other names
Top Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OMIDI MD (OWNER AND OPERATOR)
(818) 883-3162
Entity
Organization
Contact information
Practice address
7320 WOODLAKE AVE, STE 320, WEST HILLS, CA 91307-1404
(818) 883-3162
(818) 883-2900
Mailing address
9001 WILSHIRE BLVD, STE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S051829
PROVIDER TRANACTION NUMBER (PTAN)
CA
Enumeration date
11/20/2006
Last updated
05/07/2009
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