Organization
CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TAHERY M.D. (MEDICAL DIRECTOR)
(818) 265-9499
Entity
Organization
Contact information
Practice address
503 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1901
(818) 265-9499
Mailing address
503 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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