# TAMPA SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1659807717
- **Authorized official:** LEO POLOSAJIAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 718-1600

## Contact information

- **Practice address:** 7640 TAMPA AVE, SUITE 102, RESEDA, CA 91335-1700
- **Practice address phone:** (818) 718-1600
- **Mailing address:** 7640 TAMPA AVE, SUITE 102, RESEDA, CA 91335-1700

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017