Healthcare Provider Details

I. General information

NPI: 1770425274
Provider Name (Legal Business Name): UNIFIED SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD STE 150
BEVERLY HILLS CA
90211-3143
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD STE 150
BEVERLY HILLS CA
90211-3143
US

V. Phone/Fax

Practice location:
  • Phone: 424-421-7624
  • Fax: 310-358-9222
Mailing address:
  • Phone: 424-421-7624
  • Fax: 310-358-9222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RUBINA KHACHATRYAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 424-421-7624