Organization
LOS ANGELES SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM MAROUNI MD (PRESIDENT)
(818) 988-9090
Entity
Organization
Contact information
Practice address
16119 VANOWEN ST STE B, LAKE BALBOA, CA 91406-4822
(818) 988-9090
Mailing address
PO BOX 19211, ENCINO, CA 91416-9211
(818) 988-9090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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