Antelope Valley Surgical Associates

LBN: Antelope Valley Surgical Associates
Antelope Valley Surgical Associates is an health care organization with primary practice located at 1331 W Avenue J Suite 203, Lancaster CA 93534-2942. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Antelope Valley Surgical Associates can be contacted via phone (661) 945-4433, or through Petrik, Pavel Vaclav via phone (661) 945-4433.

Contact Information

Primary practice address
1331 W Avenue J Suite 203 Lancaster CA 93534-2942
Phone: (661) 945-4433
Fax: (661) 940-0206
Website:
Map and Directions
Authorized official contact:
Name: Petrik, Pavel Vaclav Doctor of Medicine (MD)
Phone: (661) 945-4433

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G74861 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A35504 California

Profile Details

NPI number 1144433434
LBN Legal business name Antelope Valley Surgical Associates
DBA Doing business as
Authorized official Petrik, Pavel Vaclav Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Jan 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144433434 NPPES
California MEDICAID GR0091800

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