ELITE OUTPATIENT SURGERY CENTER INC (NPI# 1316455165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316455165 |
| Entity Type | Organization |
| Organization Name | ELITE OUTPATIENT SURGERY CENTER INC |
| Practice Address |
2701 W Alameda Ave Ste 308 Burbank CA 91505-4408 |
| Practice Telephone | 7474771410 |
| Practice Fax Number | 7474771412 |
| Mailing Telephone | 7474771410 |
| Mailing Fax Number | 7474771412 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | MOHAMMAD R KHOSRAVI (CEO) |
| Authorized Official Telephone | 7474771410 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
6656 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AAA OF AMBULATORY SURGERY FACILITIES INC | 6656 | 01 |
| Street Address |
2701 W ALAMEDA AVE STE 308 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467559583 | Raffi H. Margossian | Dentist | 2701 W Alameda Ave Ste 308, Burbank, CA 91505-4408 | 2006-09-20 |
| 1124184098 | Raffi Margossian, D.d.s., M.s.d., Inc. | Dentist | 2701 W Alameda Ave Ste 308, Burbank, CA 91505-4408 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| 1457773442 | Vista Outpatient Surgery Center, Inc | Clinic/Center | 116 S Buena Vista St # 200, Burbank, CA 91505-4503 | 2014-01-10 |
| 1407035215 | Buena Vista Surgery Center Medical Group Inc | Clinic/Center | 2701 W. Alameda Avenue, Suite 401b, Burbank, CA 91505-4409 | 2007-10-29 |
| 1962527614 | Burbank Outpatient Surgery Center | Clinic/Center | 201 S Buena Vista St Ste 430, Burbank, CA 91505-4569 | 2007-03-20 |
| 1497788277 | Pacific Eye Surgery Center | Clinic/Center | 2829 W Burbank Blvd, Burbank, CA 91505-2300 | 2006-07-08 |
| 1457959082 | Optilife Surgery Center Inc | Clinic/Center | 2701 W Alameda Ave Ste 602, Burbank, CA 91505-4411 | 2020-10-15 |
| 1386186781 | Buena Vista Surgery Center, LLC | Clinic/Center | 2701 W Alameda Ave, Suite 401b, Burbank, CA 91505-4402 | 2016-11-16 |
| 1114473972 | Burbank Spine and Pain Surgery Center A Professional Medical Corp | Clinic/Center | 2211 W Magnolia Blvd, Suite 270, Burbank, CA 91506-1753 | 2016-08-31 |
| 1134598550 | All In One Surgery Center | Clinic/Center | 2701 W Alameda Ave, Suite 308, Burbank, CA 91505-4402 | 2015-09-15 |
| 1295070399 | Burbank Surgery Center, Inc | Clinic/Center | 2701 W Alameda Ave, Suite 602, Burbank, CA 91505-4402 | 2012-11-30 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.