Provider Demographics
NPI:1659570141
Name:WOMENS SURGICENTER INC
Entity Type:Organization
Organization Name:WOMENS SURGICENTER INC
Other - Org Name:VALLEY SURGICENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-459-4005
Mailing Address - Street 1:9227 RESEDA BLVD.
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3137
Mailing Address - Country:US
Mailing Address - Phone:818-459-4005
Mailing Address - Fax:818-721-9449
Practice Address - Street 1:18546 ROSCOE BLVD STE 220B
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4661
Practice Address - Country:US
Practice Address - Phone:818-459-4005
Practice Address - Fax:818-721-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA28104Medicare UPIN
CAS051325Medicare PIN