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MID VALLEY DERMATOLOGICAL SURGERY CENTER
NPI 1295792505
Clinic/Center - Ambulatory Surgical in Sherman Oaks, CA

Active since April 28, 2006
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403(818) 907-7546(818) 907-9506 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mid Valley Dermatological Surgery Center NPPES

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

MID VALLEY DERMATOLOGICAL SURGERY CENTER (NPI 1295792505) is a healthcare organization registered as an ambulatory surgical in Sherman Oaks, California and active in the NPI registry since April 2006. The organization lists Allan Stanley Wirtzer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295792505
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALLAN S. WIRTZER
Location Address4836 VAN NUYS BLVDSherman Oaks, CA 91403-2101
Mailing Address4836 Van Nuys BlvdSherman Oaks, CA 91403-2101 · (818) 907-7546 · Fax (818) 907-9506
Phone(818) 907-7546
Fax(818) 907-9506
Organization SubpartNo
Authorized OfficialAllan Stanley WirtzerMedical Director · (818) 907-7546
Enumeration DateApril 28, 2006
Last NPPES UpdateNovember 13, 2008
✔ NPI 1295792505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 261QA1903X
4836 VAN NUYS BLVD, Sherman Oaks, CA 91403
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Other Names 1

Doing Business AsMid Valley Dermatological Surgery Center

Other Identifiers 2

Medicare PINS051305CA
Other1326003161CA · Allan S. Wirtzer Md, Medical Director Npi#

Other Providers at the Same Location NPPES 14

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

ROBERT C HIGHAM PA
Physician Assistant (Medical)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
MID VALLEY DERMATOLOGY
Dermatology (Procedural Dermatology)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
MS. JACLYN SONIA AGOPIAN MPAP, PA-C
Physician Assistant (Medical)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
DR. ELISE HERRO M.D.
Dermatology
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
ADAM BRODY ARONSON M.D.
Dermatology (MOHS-Micrographic Surgery)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
HEATHER TRAN PA-C
Physician Assistant
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
JESSICA CHARLOTTE HEROLD
Physician Assistant
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546
ASI SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-7546

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 Allan S. Wirtzer's NPI number?

The NPI number for Allan S. Wirtzer is 1295792505. It was assigned to this organization in the NPPES registry on April 28, 2006. The provider is doing business as Mid Valley Dermatological Surgery Center.

Where is Allan S. Wirtzer located?

Allan S. Wirtzer is located at 4836 Van Nuys Blvd, Sherman Oaks, CA 91403. The listed phone number is (818) 907-7546.

What is Allan S. Wirtzer's specialty?

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

When was this NPI record last updated?

The NPPES record for Allan S. Wirtzer was last updated on November 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.