Organization
BURBANK OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIDAL AGUAS (ADMINISTRATOR)
(818) 238-2350
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST STE 430, BURBANK, CA 91505-4569
(818) 238-2350
Mailing address
201 S BUENA VISTA ST STE 430, BURBANK, CA 91505-4569
(818) 238-2350
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71743
AAAHC
—
Enumeration date
03/20/2007
Last updated
08/22/2020
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