Healthcare Provider Details

I. General information

NPI: 1134598550
Provider Name (Legal Business Name): ALL IN ONE SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W ALAMEDA AVE SUITE 308
BURBANK CA
91505-4402
US

IV. Provider business mailing address

2701 W ALAMEDA AVE # 602
BURBANK CA
91505
US

V. Phone/Fax

Practice location:
  • Phone: 818-497-3476
  • Fax:
Mailing address:
  • Phone: 818-846-1335
  • Fax: 818-846-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number4129
License Number StateCA

VIII. Authorized Official

Name: KRISTINE ARUTYUNYAN
Title or Position: DIRECTOR / MANAGER
Credential:
Phone: 818-846-1335