NPIMap

Organization Active NPI

North Hollywood Surgery Center, a California Corporation

  • Ambulatory Surgical Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1508360322
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORTH HOLLYWOOD SURGERY CENTER, A CALIFORNIA CORPORATION
Practice address
12134 Victory Blvd Ste E
North Hollywood, CA 91606-3205
Phone
(844) 772-4752
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mr. Mitchell Rubin
Title
Adminastrator
Phone
(818) 762-8702

Specialties & licenses 1

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

Addresses

Primary practice location

12134 Victory Blvd Ste E
North Hollywood, CA 91606-3205

Mailing address

12134 Victory Blvd Ste E
North Hollywood, CA 91606-3205
Phone (844) 772-4752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1508360322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063205",
            "telephone_number": "844-772-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063205",
            "telephone_number": "844-772-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOLLYWOOD SURGERY CENTER, A CALIFORNIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ADMINASTRATOR",
        "authorized_official_telephone_number": "818-762-8702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "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 Apr 30, 2018; 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.