# LA TOP SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1821481482
- **Authorized official:** DR. GEVORG MUTAFYAN M.D. (MANAGING MEMBER/OWNER.)
- **Authorized official phone:** (818) 424-8568

## Contact information

- **Practice address:** 800 S CENTRAL AVE \# 100A2, GLENDALE, CA 91204-4370
- **Practice address phone:** (818) 424-8568
- **Mailing address:** 800 S CENTRAL AVE \# 100A2, GLENDALE, CA 91204-4370

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 03/06/2015
