Organization · Type 2 NPI

Prime Healthcare Asc - Northridge LLC

Ambulatory Surgical Clinic/Center · Northridge, CA

NPI number 1407529845 Active

Practice location

19331 Business Center Dr Ste 102
Northridge, CA 91324-3533

Call (818) 709-5555 Map

Mailing address

3480 E Guasti Rd Fl 2
Ontario, CA 91761-7684

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

2 other providers at this address

Northridge Surgery Center LLCAmbulatory Surgical Clinic/Center Northridge, CA NPI 1508498627
Northridge Vascular Center A Professional Medical CorporationVascular & Interventional Radiology Physician Northridge, CA NPI 1245739820

Other ambulatory surgical clinic/center providers in Northridge

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NPI record

NPI: 1407529845
Entity type: Organization (Type 2)
Issued: Jul 30, 2021
Last updated: Sep 15, 2021
Status: Active

Other names

<unavail>
Prime Healthcare Surgical Center of the Valley · doing business as

Authorized official

Christopher Doan
Managing Associate General Counsel
(310) 259-4706

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407529845

Prime Healthcare Asc - Northridge LLC's National Provider Identifier is 1407529845, issued on Jul 30, 2021. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Northridge, CA. The record was last updated on Sep 15, 2021.