# ACTIVE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1932786928
- **Authorized official:** MAXIM MORADIAN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (818) 338-6860

## Contact information

- **Practice address:** 51 N 5TH AVE STE 301D, ARCADIA, CA 91006-3710
- **Practice address phone:** (626) 460-1096
- **Practice address fax:** (888) 425-9079
- **Mailing address:** PO BOX 8323, LA CRESCENTA, CA 91224-0323
- **Mailing address phone:** (818) 338-6860
- **Mailing address fax:** (888) 425-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 03/25/2021