# BRAND TARZANA SURGICAL INSTITUTE INC

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

## Provider details

- **NPI number:** 1538451760
- **Authorized official:** FARDIN HAKAKIAN (CEO)
- **Authorized official phone:** (818) 578-5125

## Contact information

- **Practice address:** 5620 WILBUR AVE, \#305, TARZANA, CA 91356-1351
- **Practice address phone:** (818) 400-6967
- **Mailing address:** 19228 VENTURA BLVD STE A, TARZANA, CA 91356-3101
- **Mailing address phone:** (818) 578-5125

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2011
- **Last updated:** 03/16/2022