Organization
GOLDEN STATE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
Z143H H VARTIVARIAN MD (PRESIDENT)
(818) 883-8477
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
7320 WOODLAKE AVE STE 220, WEST HILLS, CA 91307-1484
(818) 883-8477
(818) 883-2223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C40219
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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