Basic Information
| Provider Information | |||||||||
| NPI: | 1184098337 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOPE SURGERY CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16311 VENTURA BLVD | ||||||||
| Address2: | SUITE 1015 | ||||||||
| City: | ENCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914362124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103607368 | ||||||||
| FaxNumber: | 3103607370 | ||||||||
| Practice Location | |||||||||
| Address1: | 16311 VENTURA BLVD | ||||||||
| Address2: | SUITE 1015 | ||||||||
| City: | ENCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914362124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103607368 | ||||||||
| FaxNumber: | 3103607370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2015 | ||||||||
| LastUpdateDate: | 11/25/2015 | ||||||||
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| AuthorizedOfficialLastName: | DELPARASTAN | ||||||||
| AuthorizedOfficialFirstName: | KAMRAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED OFFICIAL | ||||||||
| AuthorizedOfficialTelephone: | 3103607368 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.