ELITE OUTPATIENT SURGICAL INSTITUTE, INC – NPI #1285365437
Clinic/Center

ELITE OUTPATIENT SURGICAL INSTITUTE, INC is an AHC clinic located in RESEDA, CA. NPPES has assigned the NPI number 1285365437 to ELITE OUTPATIENT SURGICAL INSTITUTE, INC on June 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PRIME SURGICAL CENTER, INC.. 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 4 years ago on Sep 26, 2022. 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 ELITE OUTPATIENT SURGICAL INSTITUTE, INC below.

NPI Profile for
ELITE OUTPATIENT SURGICAL INSTITUTE, INC

NPI Number
1285365437
Enumeration Date

(about 4 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
ELITE OUTPATIENT SURGICAL INSTITUTE, INC
Former Legal Business Name: PRIME SURGICAL CENTER, INC.
Primary location
18909 SHERMAN WAY
SUITE C
RESEDA, CA 91335-6184
Phone: (818) 774-1309 Fax: (818) 774-9719
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAWN RABBANI
MEDICAL DIRECTOR
Phone: (818) 774-1309
Updated
Certification Date
Sep 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.