Organization Active NPI

Toluca Lake Surgical Partners

  • Ambulatory Surgical Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1487252276
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TOLUCA LAKE SURGICAL PARTNERS
Practice address
10876 Riverside Dr
North Hollywood, CA 91602-2236
Phone
(818) 821-3318
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Mr. Boris Tripolski
Title
Chairman, Governing
Phone
(818) 821-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10876 Riverside Dr
North Hollywood, CA 91602-2236

Mailing address

10876 Riverside Dr
North Hollywood, CA 91602-2236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1487252276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10876 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10876 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022236",
            "telephone_number": "818-821-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLUCA LAKE SURGICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "TRIPOLSKI",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING",
        "authorized_official_telephone_number": "818-821-3318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.