Organization
PRESTIGE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA SALAZAR (MANAGER)
(818) 774-2755
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD STE 105A, TARZANA, CA 91356-2806
(818) 774-2755
Mailing address
PO BOX 16927, ENCINO, CA 91416-6927
(818) 774-2755
(818) 343-1677
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
09/19/2023
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