Organization
VALLEY PLAZA SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL RUBIN (ADMINISTRATOR)
(818) 415-3205
Entity
Organization
Contact information
Practice address
12134 VICTORY BLVD STE E, N HOLLYWOOD, CA 91606-3205
(818) 452-4625
Mailing address
12134 VICTORY BLVD STE E, N HOLLYWOOD, CA 91606-3205
(818) 452-4625
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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