Organization
SURGERY CENTER OF SOUTHERN CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE HAMPARIAN MD (MEDICAL DIRECTOR)
(818) 409-1777
Entity
Organization
Contact information
Practice address
1451 E CHEVY CHASE DR STE 102, GLENDALE, CA 91206-4056
(818) 409-1777
Mailing address
1451 E CHEVY CHASE DR STE 102, GLENDALE, CA 91206-4056
(818) 409-1777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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