Luxe Surgical Center of Encino Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LUXE SURGICAL CENTER OF ENCINO INC

Practice address

17525 Ventura Blvd Ste 101
Encino, CA 91316-5101

Phone

(818) 783-5058

Fax

(818) 783-5059

NPI assigned

May 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bella Med Shklyarenko

Title

Manager

Phone

(818) 430-8954

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1114662194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165101",
            "telephone_number": "818-783-5058",
            "fax_number": "818-783-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165101",
            "telephone_number": "818-783-5058",
            "fax_number": "818-783-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE SURGICAL CENTER OF ENCINO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "SHKLYARENKO",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "MED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-430-8954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Luque
• Lurie Physical Therapy PC
• Joshua Lurie, DPT
• Elina Luskina, DIETITIAN
• Luxe Surgery Center of Encino LLC
• Melinda Ly, OTR/L
• Sergey Lyass, MD
• Tracy Renee Lynch, LSCW
• Cathleen Lyons, MFT
• M & R Hospice and Palliative Care, Inc.

• Ambulatory Surgical Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.