Provider Demographics
NPI:1174315154
Name:DISC SURGERY CENTER AT TARZANA, LLC
Entity type:Organization
Organization Name:DISC SURGERY CENTER AT TARZANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL VP OF ASC OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-710-4189
Mailing Address - Street 1:3501 JAMBOREE RD STE 2300
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2904
Mailing Address - Country:US
Mailing Address - Phone:949-988-7828
Mailing Address - Fax:949-988-7869
Practice Address - Street 1:5223 LINDLEY AVE STE 100
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3701
Practice Address - Country:US
Practice Address - Phone:747-254-3480
Practice Address - Fax:747-254-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical