# AVALON SURGERY AND ROBOTIC CENTER, LLC

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

## Provider details

- **NPI number:** 1194185637
- **Authorized official:** SILVA MORADI (CEO)
- **Authorized official phone:** (818) 696-0091

## Contact information

- **Practice address:** 435 ARDEN AVE SUITE 520, GLENDALE, CA 91203
- **Practice address phone:** (818) 696-0091
- **Practice address fax:** (818) 484-2449
- **Mailing address:** 435 ARDEN AVE SUITE 520, GLENDALE, CA 91203
- **Mailing address phone:** (818) 696-0091
- **Mailing address fax:** (818) 484-2449

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 07/15/2024