# SUNRISE SURGICAL CENTER MIRABADI PARVIN GEN PTR

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

## Provider details

- **NPI number:** 1497994941
- **Authorized official:** DR. PARVIN A MIRABADI MD (PRESIDENT)
- **Authorized official phone:** 81878200004

## Contact information

- **Practice address:** 4940 VAN NUYS BLVD, 100, SHERMAN OAKS, CA 91403-1700
- **Practice address phone:** (818) 782-0004
- **Practice address fax:** (818) 782-0555
- **Mailing address:** 4940 VAN NUYS BLVD, 100, SHERMAN OAKS, CA 91403-1700
- **Mailing address phone:** (818) 782-0004
- **Mailing address fax:** (818) 782-0555

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 12/17/2015