Organization
INTEGRA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN SHABATIAN M.D. (OWNER)
(310) 927-2704
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE LL06, ENCINO, CA 91316-5137
(310) 927-2704
Mailing address
17609 VENTURA BLVD STE LL06, ENCINO, CA 91316-5137
(310) 927-2704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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