Provider Demographics
NPI:1184784209
Name:AMERICAN SURGICAL CENTERS II, LLC
Entity type:Organization
Organization Name:AMERICAN SURGICAL CENTERS II, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BILJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-538-7095
Mailing Address - Street 1:7091 ORCHARD LAKE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3651
Mailing Address - Country:US
Mailing Address - Phone:248-312-9886
Mailing Address - Fax:248-538-7298
Practice Address - Street 1:7091 ORCHARD LAKE RD.
Practice Address - Street 2:SUITE #230
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3651
Practice Address - Country:US
Practice Address - Phone:248-538-7095
Practice Address - Fax:248-538-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI636831261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ON34710Medicare PIN