# HEART OF SAN DIEGO SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1639815129
- **Authorized official:** DR. MEHRAN MOUSSAVIAN DO (CEO)
- **Authorized official phone:** (619) 518-5345

## Contact information

- **Practice address:** 8705 COMPLEX DR STE 202, SAN DIEGO, CA 92123-1401
- **Practice address phone:** (858) 302-2502
- **Mailing address:** 8787 COMPLEX DR STE 202, SAN DIEGO, CA 92123-1451
- **Mailing address phone:** (619) 807-1981

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2022
- **Last updated:** 07/17/2025