Healthcare Provider Details
I. General information
NPI: 1730020744
Provider Name (Legal Business Name): CENTURY SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28720 ROADSIDE DR STE 200
AGOURA HILLS CA
91301-4576
US
IV. Provider business mailing address
28720 ROADSIDE DR STE 200
AGOURA HILLS CA
91301-4576
US
V. Phone/Fax
- Phone: 818-492-9164
- Fax:
- Phone: 818-492-9164
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARMEN
HAROUTUNIAN
Title or Position: OWNER
Credential: MD
Phone: 818-492-9164