Socal Breathe Free ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOCAL BREATHE FREE ASC LLC

Practice address

201 S Buena Vista St Ste 300
Burbank, CA 91505-4580

Phone

(520) 979-6774

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Taylor Borane

Title

Administrator

Phone

(520) 979-6774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1760141022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054580",
            "telephone_number": "520-979-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL BREATHE FREE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BORANE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-979-6774"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Gene Snyder, PTA
• Dora H. So, M.D.
• Tiany Siao Tian So, MS, RD
• Socal Best Care Inc.
• Socal Health Services, Inc.
• Socal Top Care Inc.
• Socal Victory Care Inc.
• Priya Sodhi, MS, BCBA
• Sofise Chen, D.D.S. a Professional Dental Corporation

• Ambulatory Surgical Clinic/Center in Burbank, CA
• Providers in Burbank, 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 Dec 14, 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.