Organization · Type 2 NPI

L A Surgical Institute Inc

Nurse Practitioner · Glendale, CA

NPI number 1215860945 Active

Practice location

124 S Glendale Ave
Glendale, CA 91205-1109

Call (818) 338-5040 Map

Fax (818) 396-4448

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215860945

L A Surgical Institute Inc's National Provider Identifier is 1215860945, issued on Jun 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, CA. The record was last updated on Jun 3, 2026.