0001345645-22-000002.txt : 20220104 0001345645-22-000002.hdr.sgml : 20220104 20220104161426 ACCESSION NUMBER: 0001345645-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 EFFECTIVENESS DATE: 20220104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Specialty Surgical Center of Encino LLC CENTRAL INDEX KEY: 0001345645 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-427833 FILM NUMBER: 22506028 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BLVD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6152345900 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BLVD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 D 1 primary_doc.xml X0708 D LIVE 0001345645 Specialty Surgical Center of Encino LLC 310 Seven Springs Way Brentwood TN TENNESSEE 37027 615-234-5900 CALIFORNIA None None Limited Liability Company true . SMBISS Encino, LLC 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Promoter Daniel Brazell 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director George Goodwin 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Karen Dunbar 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Prosper Benhaim 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Philip Biderman 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Ali Strocker 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Gustavo Machicado 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Marc Kerner, MD 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Piyush Jogani, MD 310 Seven Springs Way Brentwood TN TENNESSEE 37027 Director Hospitals and Physicians Decline to Disclose 06b false true false true true 0 2557894 0 2557894 false 0 0 0 0 false Specialty Surgical Center of Encino LLC /s/ Jennifer B. Baldock Jennifer B. Baldock VP & Sec. of the Admin/Managing Member of Issuer 2022-01-04