| Encino Surgicenter A Medical Group | |
|
16633 Ventura Blvd Ste 110 Encino CA 91436 | |
| (818) 981-3333 | |
| (818) 981-0249 |
| Full Name | Encino Surgicenter A Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 16633 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Stephen D Bresnick (PLASTIC RECON SURGEON) |
| Authorized Official Contact | 8189813333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Surgicenter A Medical Group 16633 Ventura Blvd Ste 110 Encino CA 91436 Ph: (818) 981-3333 | Encino Surgicenter A Medical Group 16633 Ventura Blvd Ste 110 Encino CA 91436 Ph: (818) 981-3333 |
| NPI Number | 1780787218 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 9335329929 |
|---|---|
| Medicare Enrollment ID | O20110215000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780787218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | S051273 (California) | Primary |
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