Healthcare Provider Details

I. General information

NPI: 1396077657
Provider Name (Legal Business Name): HILLS SURGERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 WOODLAKE AVE STE 300
WEST HILLS CA
91307-1471
US

IV. Provider business mailing address

7320 WOODLAKE AVE STE 300
WEST HILLS CA
91307-1471
US

V. Phone/Fax

Practice location:
  • Phone: 818-888-7090
  • Fax: 818-888-8919
Mailing address:
  • Phone: 818-888-7090
  • Fax: 818-888-8919

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: MAHBOD M PAYA
Title or Position: PHYSICIAN/PRESIDENT
Credential: M.D.
Phone: 818-888-7090