Organization
OMNI SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM MORADIAN MD (CHAIRMAN, GOVERNING BODY)
(818) 338-6860
Entity
Organization
Contact information
Practice address
317 S BRAND BLVD, GLENDALE, CA 91204-1701
(818) 338-6860
Mailing address
317 S BRAND BLVD STE 102, GLENDALE, CA 91204-1701
(818) 338-6860
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
07/26/2022
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