Active NPI
Tarzana Surgical Specialists Inc
- Surgery Physician
- Tarzana, CA
National Provider Identifier
1376779363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TARZANA SURGICAL SPECIALISTS INC
- Practice address
- 18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2806 - Phone
- (818) 654-0595
- NPI assigned
- Jun 3, 2009
- Last updated
- Jun 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mokhtar G Mikhail, MD
- Title
- President
- Phone
- (818) 654-0590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2806
Mailing address
18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2806
Phone (818) 654-0595
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1376779363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18425 BURBANK BLVD",
"address_2": "SUITE 105",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562806",
"telephone_number": "818-654-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18425 BURBANK BLVD",
"address_2": "SUITE 105",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562806",
"telephone_number": "818-654-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARZANA SURGICAL SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "MIKHAIL",
"authorized_official_first_name": "MOKHTAR",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-654-0590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
- Tarzana Post Acute LLC (Tarzana Health and Rehabilitation Center)
- Tarzana Recovery Center, Inc,
- Tarzana Senior Living, Inc.
- Tarzana Surgery Center, Inc.
- Tarzana Surgery Center, Inc.
- Tarzana Therapy & Rehabilitation Center Inc
- Tarzana Total Care
- Tarzana Treatment Center
- Tarzana Treatment Center
- Tarzana Treatment Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.