Organization
ACTIVE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM MORADIAN MD (OWNER/PHYSICIAN)
(818) 338-6860
Entity
Organization
Contact information
Practice address
51 N 5TH AVE STE 301D, ARCADIA, CA 91006-3710
(626) 460-1096
(888) 425-9079
Mailing address
PO BOX 8323, LA CRESCENTA, CA 91224-0323
(818) 338-6860
(888) 425-9079
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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