Provider Demographics
NPI:1821822107
Name:POSH SURGERY CENTER LLC
Entity type:Organization
Organization Name:POSH SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSARI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-836-1100
Mailing Address - Street 1:2701 W ALAMEDA AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4408
Mailing Address - Country:US
Mailing Address - Phone:310-614-0184
Mailing Address - Fax:818-831-5700
Practice Address - Street 1:2701 W ALAMEDA AVE STE 308
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4408
Practice Address - Country:US
Practice Address - Phone:310-614-0184
Practice Address - Fax:818-831-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical