# GOLDEN STATE SURGERY CENTER

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

## Provider details

- **NPI number:** 1487084075
- **Authorized official:** Z143H H VARTIVARIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 883-8477

## Contact information

- **Practice address:** 5 HOLLAND STE 101, IRVINE, CA 92618-2568
- **Practice address phone:** (949) 588-2190
- **Practice address fax:** (949) 588-2199
- **Mailing address:** 7320 WOODLAKE AVE STE 220, WEST HILLS, CA 91307-1484
- **Mailing address phone:** (818) 883-8477
- **Mailing address fax:** (818) 883-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | C40219 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013