Organization
ENCINO OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUHEL SIDDIQUI (CEO)
(818) 986-1037
Entity
Organization
Contact information
Practice address
16311 VENTURA BOULEVARD, SUITE 580, ENCINO, CA 91436-4314
(818) 986-1037
(818) 986-1800
Mailing address
16311 VENTURA BOULEVARD, SUITE 580, ENCINO, CA 91436-4314
(818) 986-1037
(818) 986-1800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
12/04/2019
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