# LAGUNA SURGERY INSTITUTE LLC

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

## Provider details

- **NPI number:** 1295125482
- **Authorized official:** ARIAN MOWLAVI MD (MANAGING MEMBER / OWNER)
- **Authorized official phone:** (949) 499-4147

## Contact information

- **Practice address:** 32406 COAST HIGHWAY, SUITE 2, LAGUNA BEACH, CA 92651
- **Practice address phone:** (949) 499-4147
- **Mailing address:** 32406 COAST HIGHWAY, SUITE 2, LAGUNA BEACH, CA 92651
- **Mailing address phone:** (949) 499-4147

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2015
- **Last updated:** 01/27/2015