Provider Demographics
NPI:1609103399
Name:TOURNEY PLAZA SURGICAL CENTER
Entity Type:Organization
Organization Name:TOURNEY PLAZA SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-259-3937
Mailing Address - Street 1:27420 TOURNEY RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5601
Mailing Address - Country:US
Mailing Address - Phone:661-259-3937
Mailing Address - Fax:661-259-3904
Practice Address - Street 1:27420 TOURNEY RD
Practice Address - Street 2:SUITE 160
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5633
Practice Address - Country:US
Practice Address - Phone:661-259-3937
Practice Address - Fax:661-259-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF1943Medicare PIN