NPI
Asc Treatment Group
NPI 1003942970
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-02-26
- Last updated
- 2020-08-28
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Specialties
Licenses
- License CA
- MFC38512
Location
- Practice location
- 5335 Craner Ave
- City
- North Hollywood CA
- Postal code
- 91601-3313
- Phone
- (626) 872-6632
Organization contact
- Name
- Donetta Jackson
- Title
- Administrator
- Phone
- (323) 318-2520
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in North Hollywood, CA. 3,283 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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