Organization
SOCAL OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SAMVALIAN (CEO)
(818) 402-7759
Entity
Organization
Contact information
Practice address
716 W BROADWAY, GLENDALE, CA 91204-1010
(818) 945-9845
(818) 945-0892
Mailing address
1141 N BRAND BLVD STE 202, GLENDALE, CA 91202-3660
(818) 945-9845
(818) 945-0892
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
11/16/2022
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