Elite Outpatient Surgery Center INC
NPI #1316455165 in Burbank, California
Provider Information
- NPI Number
- 1316455165
- Entity Type
- Organization
- Organization Name
- Elite Outpatient Surgery Center INC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 15, 2018
- Last Updated
- Jan 15, 2018
Practice Location
- Address
- 2701 W ALAMEDA AVE STE 308
- City
- Burbank
- State
- California
- ZIP Code
- 91505-4408
- Phone
- (747) 477-1410
Authorized Official
- Name
- MOHAMMAD R KHOSRAVI, MD
- Title
- CEO
- Phone
- (747) 477-1410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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