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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