Specialty Outpatient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPECIALTY OUTPATIENT SURGERY CENTER, LLC

Practice address

200 S Louise St
Glendale, CA 91205-1637

Phone

(818) 844-8700

Fax

(877) 807-8246

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jalil Rashti, M.D.

Title

Medical Director

Phone

(818) 844-8700

Specialties & licenses 1

Addresses

Other names 1

• Specialty Outpatient Surgery Center Other name

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1639568108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251720",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912251720",
            "telephone_number": "818-844-8700",
            "fax_number": "877-807-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051637",
            "telephone_number": "818-844-8700",
            "fax_number": "877-807-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "RASHTI",
        "authorized_official_first_name": "JALIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-844-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Outpatient Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Glendale, CA
• Providers in Glendale, 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 Jan 21, 2015; 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.