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LUXE SURGICAL CENTER OF ENCINO INC
NPI 1114662194
Clinic/Center - Ambulatory Surgical in Encino, CA

Active since May 03, 2022CLIA 05D2277361 · Waiver
17525 VENTURA BLVD STE 101, ENCINO, CA 91316(818) 783-5058(818) 783-5059 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luxe Surgical Center Of Encino Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUXE SURGICAL CENTER OF ENCINO INC (NPI 1114662194) is a healthcare organization registered as an ambulatory surgical in Encino, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Bella Med Shklyarenko, Manager, as its authorized official.

NPPES Registry Identity

NPI1114662194
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLUXE SURGICAL CENTER OF ENCINO INC
Location Address17525 VENTURA BLVD STE 101Encino, CA 91316-5101
Mailing Address17525 Ventura Blvd Ste 101Encino, CA 91316-5101 · (818) 783-5058 · Fax (818) 783-5059
Phone(818) 783-5058
Fax(818) 783-5059
Organization SubpartNo
Authorized OfficialBella Med ShklyarenkoManager · (818) 430-8954
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1114662194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
17525 VENTURA BLVD STE 101, Encino, CA 91316
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2277361

Luxe Surgical Center Of Encino · Encino, CA
Active · expires Feb 23, 2027
CLIA Number05D2277361
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorAlen Nourian
Laboratory Phone(818) 783-5058
Laboratory LocationLuxe Surgical Center Of Encino17525 Ventura Blvd, Suite 101, Encino, CA 91316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUXE SURGERY CENTER OF ENCINO LLC
Clinic/Center (Ambulatory Surgical)
17525 VENTURA BLVD STE 101
ENCINO, CA 91316
Los Angeles County (818) 783-5058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luxe Surgical Center Of Encino Inc's NPI number?

The NPI number for Luxe Surgical Center Of Encino Inc is 1114662194. It was assigned to this organization in the NPPES registry on May 3, 2022.

Where is Luxe Surgical Center Of Encino Inc located?

Luxe Surgical Center Of Encino Inc is located at 17525 Ventura Blvd Ste 101, Encino, CA 91316. The listed phone number is (818) 783-5058.

What is Luxe Surgical Center Of Encino Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Luxe Surgical Center Of Encino Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2277361) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luxe Surgical Center Of Encino Inc was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.