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General NPI Number Information
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NPI Number | 1073486361
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Entity Type | Organization
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Legal Business Name | PRIME SURGICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5703 CORSA AVE STE 202
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4001
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Country | US
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Telephone | 818-444-8206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4478
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City | WEST HILLS
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State | CA
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Zip | 91308-4478
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Country | US
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Telephone | 818-444-8206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIMAL LALA
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Credential | DO
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Telephone | 818-444-8206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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