Provider Demographics
NPI:1720748692
Name:ENCORE SURGERY CENTER INC.
Entity Type:Organization
Organization Name:ENCORE SURGERY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-823-1535
Mailing Address - Street 1:554 E SAN BERNARDINO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1749
Mailing Address - Country:US
Mailing Address - Phone:626-823-1535
Mailing Address - Fax:
Practice Address - Street 1:300 W BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-1827
Practice Address - Country:US
Practice Address - Phone:626-823-1535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical