Healthcare Provider Details

I. General information

NPI: 1659751188
Provider Name (Legal Business Name): NEWHALL SURGICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24707 RAILROAD AVE
SANTA CLARITA CA
91321-1711
US

IV. Provider business mailing address

24707 RAILROAD AVE
SANTA CLARITA CA
91321-1711
US

V. Phone/Fax

Practice location:
  • Phone: 661-379-8085
  • Fax: 661-368-9956
Mailing address:
  • Phone: 661-379-8085
  • Fax: 661-368-9956

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: THUONG VO
Title or Position: PRESIDENT
Credential: MD
Phone: 661-379-8085