Organization
PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA MICHELLE ALTIS-PARKHURST RN (ADMINISTRATIVE DIRECTOR)
(818) 863-4225
Entity
Organization
Contact information
Practice address
1500 E CHEVY CHASE DR, SUITE #101, GLENDALE, CA 91206-4152
(818) 863-4225
(818) 863-4943
Mailing address
1500 E CHEVY CHASE DR, SUITE #101, GLENDALE, CA 91206-4152
(818) 863-4225
(818) 863-4943
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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