# CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO

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

## Provider details

- **NPI number:** 1699189894
- **Authorized official:** MICHAEL TAHERY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 265-9499

## Contact information

- **Practice address:** 503 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1901
- **Practice address phone:** (818) 265-9499
- **Mailing address:** 503 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1901

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014