Organization
BRAND TARZANA SURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDIN HAKAKIAN (CEO)
(818) 578-5125
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, #305, TARZANA, CA 91356-1351
(818) 400-6967
Mailing address
19228 VENTURA BLVD STE A, TARZANA, CA 91356-3101
(818) 578-5125
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
03/16/2022
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