Organization
GOLD MED SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KUTSINA (MANAGER)
(818) 990-9080
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 1010, ENCINO, CA 91436-4345
(818) 990-9080
(818) 990-9758
Mailing address
16311 VENTURA BLVD STE 1010, ENCINO, CA 91436-4345
(818) 990-9080
(818) 990-9758
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
05/13/2011
Last updated
05/24/2011
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