Organization
NOHO WEST SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL P RUBIN (ADMINISTRATOR)
(818) 415-3205
Entity
Organization
Contact information
Practice address
12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 452-4625
(818) 761-2583
Mailing address
12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 452-4625
(818) 761-2583
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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