ENCINO PLACE SURGERY CENTER – NPI #1083732721
Clinic/Center

ENCINO PLACE SURGERY CENTER is an AHC clinic located in ENCINO, CA. NPPES has assigned the NPI number 1083732721 to ENCINO PLACE SURGERY CENTER on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENCINO PLACE SURGERY CENTER below.

NPI Profile for
ENCINO PLACE SURGERY CENTER

NPI Number
1083732721
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENCINO PLACE SURGERY CENTER
Primary location
16101 VENTURA BLVD STE 240
ENCINO, CA 91436-2513
Phone: (818) 784-9304 Fax: (818) 784-9307
Mailing address
5091 WESTWOOD ST
SIMI VALLEY, CA 93063-0231
Phone: (818) 784-9304 Fax: (818) 784-9307
Organization Subpart
No
Authorized Official
DAVID GLICK
PRESIDENT
Phone: (818) 784-9304
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA G53604

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.