# FOOTHILL RANCH SURGERY & MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093927725
- **Authorized official:** MISS CAROLINE TCHAMANIAN CASC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (818) 937-9969

## Contact information

- **Practice address:** 130 N BRAND BLVD, SUITE 303, GLENDALE, CA 91203-2644
- **Practice address phone:** (818) 937-9969
- **Practice address fax:** (818) 937-9968
- **Mailing address:** 27462 PORTOLA PARKWAY, SUITE 101, FOOTHILL RANCH, CA 92610
- **Mailing address phone:** (949) 900-1340
- **Mailing address fax:** (949) 900-1341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 03/15/2016