Healthcare Provider Details

I. General information

NPI: 1912239062
Provider Name (Legal Business Name): ATLANTIC SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2010
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 S ATLANTIC BLVD STE 104
MONTEREY PARK CA
91754-6704
US

IV. Provider business mailing address

850 S ATLANTIC BLVD STE 104
MONTEREY PARK CA
91754-6704
US

V. Phone/Fax

Practice location:
  • Phone: 626-872-0264
  • Fax: 323-983-9451
Mailing address:
  • Phone: 626-872-0264
  • Fax: 323-983-9451

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: HANY MALEK
Title or Position: CEO
Credential:
Phone: 626-872-0264