Organization
SOUTHERN CALIFORNIA STONE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LLAVANES (CEO/ OWNER)
(818) 453-6963
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 111, ENCINO, CA 91316-5206
(818) 784-8975
(818) 784-7467
Mailing address
5400 BALBOA BLVD STE 111, ENCINO, CA 91316-5206
(814) 453-6963
(310) 695-2986
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000931
CA
Other
Enumeration date
01/29/2007
Last updated
11/13/2024
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