MEDICARE: STUDIO CITY SURGICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center		CA

General Provider Information

NPI Number	:	1437360849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUDIO CITY SURGICAL CENTER

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE #300
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-623-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE #300
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-623-4455
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIC D. FRIEDLANDER
Credential	:
Telephone Number	:	949-705-5105

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2020

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Directions to “STUDIO CITY SURGICAL CENTER ” Practice Location

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