Organization
TAMPA SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO POLOSAJIAN M.D. (MEDICAL DIRECTOR)
(818) 718-1600
Entity
Organization
Contact information
Practice address
7640 TAMPA AVE, SUITE 102, RESEDA, CA 91335-1700
(818) 718-1600
Mailing address
7640 TAMPA AVE, SUITE 102, RESEDA, CA 91335-1700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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