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NPI 1093615783

NPI 1093615783 : SURAYA SURGERY CENTER LLC : AGOURA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1093615783
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    Entity Type          |    Organization 
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    Legal Business Name  |    SURAYA SURGERY CENTER LLC 
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Dates
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    Enumeration Date     |    11/06/2026
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    Last Update Date     |    11/06/2026
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Provider Practice Location Address
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    Address Line         |    5012 CHESEBRO RD STE 101 
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    City                 |    AGOURA HILLS
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    State                |    CA
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    Zip                  |    91301-2286
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    Country              |    US
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    Telephone            |    818-210-4385
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    Fax                  |    818-210-4384
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Provider Business Mailing Address
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    Address Line         |    5012 CHESEBRO RD STE 101 
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    City                 |    AGOURA HILLS
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    State                |    CA
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    Zip                  |    91301-2286
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    Country              |    US
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    Telephone            |    818-210-4385
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    Fax                  |    818-210-4384
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |    DR. CHRISTOPHER  ZOUMALAN 
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    Credential           |    MD
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    Telephone            |    310-278-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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