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Organization

SAINT RAPHAEL SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMMY EGHBALIEH MD (PARTNER)
(818) 900-6481
Entity
Organization

Contact information

Practice address
5805 SEPULVEDA BLVD STE 601, VAN NUYS, CA 91411-2699
(818) 900-6481
Mailing address
5805 SEPULVEDA BLVD STE 601, VAN NUYS, CA 91411-2699
(818) 900-6481

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/25/2023
Last updated
12/12/2025
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