Organization
ENCINO SURGICENTER A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D BRESNICK MD (PLASTIC RECON SURGEON)
(818) 981-3333
Entity
Organization
Contact information
Practice address
16633 VENTURA BLVD, STE 110, ENCINO, CA 91436
(818) 981-3333
(818) 981-0249
Mailing address
16633 VENTURA BLVD, STE 110, ENCINO, CA 91436
(818) 981-3333
(818) 981-0249
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
S051273
CA
Other
Enumeration date
09/07/2006
Last updated
02/15/2011
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