Healthcare Provider Details

I. General information

NPI: 1649095076
Provider Name (Legal Business Name): ASTRA NEUROSURGICAL INSTITUTE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 8086
CALABASAS CA
91372-8086
US

IV. Provider business mailing address

PO BOX 8086
CALABASAS CA
91372-8086
US

V. Phone/Fax

Practice location:
  • Phone: 310-504-2310
  • Fax: 310-504-2297
Mailing address:
  • Phone: 310-504-2312
  • Fax: 310-504-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ABILASH HARIDAS
Title or Position: OWNER
Credential:
Phone: 310-504-2312