Provider Demographics
NPI:1124764592
Name:IN-NETWORK SURGERY CENTER, INC.
Entity type:Organization
Organization Name:IN-NETWORK SURGERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKLYARENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-430-8954
Mailing Address - Street 1:99 N LA CIENEGA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2286
Mailing Address - Country:US
Mailing Address - Phone:310-360-7368
Mailing Address - Fax:818-475-1813
Practice Address - Street 1:99 N LA CIENEGA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2286
Practice Address - Country:US
Practice Address - Phone:310-360-7368
Practice Address - Fax:818-475-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical