Healthcare Provider Details

I. General information

NPI: 1306478672
Provider Name (Legal Business Name): LANCASTER SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 W AVENUE J
LANCASTER CA
93534-2703
US

IV. Provider business mailing address

1741 W AVENUE J
LANCASTER CA
93534-2703
US

V. Phone/Fax

Practice location:
  • Phone: 772-485-6335
  • Fax: 661-940-0558
Mailing address:
  • Phone: 661-940-0555
  • Fax: 661-940-0558

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: BABAK SHABATIAN
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 661-940-0555