Organization
SPECIALTY OUTPATIENT SURGERY CENTER, LLC
Active
Other names
Specialty Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALIL RASHTI M.D. (MEDICAL DIRECTOR)
(818) 844-8700
Entity
Organization
Contact information
Practice address
200 S LOUISE ST, GLENDALE, CA 91205-1637
(818) 844-8700
(877) 807-8246
Mailing address
PO BOX 251720, GLENDALE, CA 91225-1720
(818) 844-8700
(877) 807-8246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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