Organization · Type 2 NPI
Radiance Surgery Center LLC
Ambulatory Surgical Clinic/Center · Sherman Oaks, CA
NPI number
1063924017
Active
Practice location
5170 Sepulveda Blvd Ste 240
Sherman Oaks, CA 91403-1190
Fax (818) 783-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 0003011010-0001-0 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1063924017
Radiance Surgery Center LLC's National Provider Identifier is 1063924017, issued on Oct 31, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Sherman Oaks, CA. The record was last updated on Oct 31, 2017.