# ADMIRALTY SURGERY CENTER, INC

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

## Provider details

- **NPI number:** 1508293853
- **Authorized official:** DR. FARHAD SIAGRI (OWNER)
- **Authorized official phone:** (310) 823-4444

## Contact information

- **Practice address:** 4640 ADMIRALTY WAY, SUITE 718B, MARINA DEL REY, CA 90292-6621
- **Practice address phone:** (310) 823-4444
- **Practice address fax:** (310) 363-7085
- **Mailing address:** 4640 ADMIRALTY WAY, SUITE 718B, MARINA DEL REY, CA 90292-6621
- **Mailing address phone:** (310) 823-4444
- **Mailing address fax:** (310) 363-7085

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 10/02/2013