Healthcare Provider Details

I. General information

NPI: 1144148487
Provider Name (Legal Business Name): HAIGH SURGICAL INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 HAIGH RD STE 100
NEWBURY PARK CA
91320-3523
US

IV. Provider business mailing address

311 HAIGH RD STE 100
NEWBURY PARK CA
91320-3523
US

V. Phone/Fax

Practice location:
  • Phone: 661-388-4143
  • Fax:
Mailing address:
  • Phone: 661-388-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEN TERNIAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 661-388-4143