Healthcare Provider Details

I. General information

NPI: 1881659613
Provider Name (Legal Business Name): WEST HILLS SURGICAL CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 MEDICAL CENTER DR
WEST HILLS CA
91307-1906
US

IV. Provider business mailing address

7240 MEDICAL CENTER DR
WEST HILLS CA
91307-1906
US

V. Phone/Fax

Practice location:
  • Phone: 818-226-9151
  • Fax: 818-226-6171
Mailing address:
  • Phone: 818-226-9151
  • Fax: 818-226-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number930000890
License Number StateCA

VIII. Authorized Official

Name: WILLIAM GREGORY SWINNEY
Title or Position: VP
Credential:
Phone: 972-789-2877