# OMNI SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1528707320
- **Authorized official:** MAXIM MORADIAN MD (CHAIRMAN, GOVERNING BODY)
- **Authorized official phone:** (818) 338-6860

## Contact information

- **Practice address:** 317 S BRAND BLVD, GLENDALE, CA 91204-1701
- **Practice address phone:** (818) 338-6860
- **Mailing address:** 317 S BRAND BLVD STE 102, GLENDALE, CA 91204-1701
- **Mailing address phone:** (818) 338-6860

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 07/26/2022