SOCAL OUTPATIENT SURGERY CENTER


Address: 1141 N Brand Blvd Ste 202, Glendale, CA 91202-3660
Phone: 8189459845

SOCAL OUTPATIENT SURGERY CENTER (NPI# 1568820892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568820892
Entity Type Organization
Organization Name SOCAL OUTPATIENT SURGERY CENTER
Practice Address 1141 N Brand Blvd Ste 202
Glendale
CA 91202-3660
Practice Telephone 8189459845
Practice Fax Number 8189450892
Mailing Telephone 8189459845
Mailing Fax Number 8189450892
Enumeration Date 2016-02-01
Last Update Date 2016-03-04
Authorized Official Name ANGEL SAMVALIAN (CEO)
Authorized Official Telephone 8184027759
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 1141 N BRAND BLVD STE 202
City GLENDALE
State CA
Zip Code 91202-3660

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1558853234 Broadway Laser Surgical Institute, Inc. Clinic/Center 1100 E Broadway Ste 201, Glendale, CA 91205-1380 2018-05-30
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Competitor

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City GLENDALE
Zip Code 91202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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