Organization
BOULEVARD SURGICENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAUL R BERGER M.D. (PRESIDENT)
(818) 990-4545
Entity
Organization
Contact information
Practice address
16030 VENTURA BLVD, SUITE 150, ENCINO, CA 91436-2731
(818) 990-4545
Mailing address
16030 VENTURA BLVD, SUITE 150, ENCINO, CA 91436-2731
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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