Healthcare Provider Details

I. General information

NPI: 1144390725
Provider Name (Legal Business Name): STARPOINT SURGERY CENTER - STUDIO CITY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12660 RIVERSIDE DR
STUDIO CITY CA
91607-3429
US

IV. Provider business mailing address

19000 MACARTHUR BLVD
IRVINE CA
92612-1438
US

V. Phone/Fax

Practice location:
  • Phone: 818-623-5310
  • Fax:
Mailing address:
  • Phone: 949-705-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number930000905
License Number StateCA

VIII. Authorized Official

Name: MR. ERIC D. FRIEDLANDER
Title or Position: MANAGER/AUTHORIZED OFFICIAL
Credential:
Phone: 949-705-5105