ADDISON ASC LLC; NPI #1467903716

Contact Information

ADDISON ASC LLC

4955 VAN NUYS BLVD
SUITE 719
SHERMAN OAKS, CA 91403-1801

Phone: 818-325-0400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADDISON ASC LLC

NPI Number	`1467903716`
LBN Legal business name	ADDISON ASC LLC
Authorized official	LARISSE LEE - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/21/2016
Last updated	10/31/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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