Organization
ELITE SURGERY MEDICAL CENTER, LLC
Active
Organization
ELITE SURGERY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN BROUKHIM M.D. (MEDICAL DIRECTOR)
(818) 501-5353
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 1085, ENCINO, CA 91436-2124
(818) 501-5353
(818) 501-2723
Mailing address
16311 VENTURA BLVD, SUITE 1085, ENCINO, CA 91436-2124
(818) 501-5353
(818) 501-2723
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2007
Last updated
04/24/2018
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