Organization
PREMIERE OUTPATIENT SURGERY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGUED FADLY M.D. (PRESIDENT, MEDICAL DIRECTOR)
(818) 225-0045
Entity
Organization
Contact information
Practice address
7325 MEDICAL CENTER DR # 103B, WEST HILLS, CA 91307-1925
(818) 225-0045
Mailing address
PO BOX 5699, SHERMAN OAKS, CA 91413-5699
(818) 225-0045
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
10/02/2019
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