=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356216501
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELARA SURGERY CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2025
-----------------------------------------------------
Last Update Date | 10/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8322 E HARTFORD DR
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-5466
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-291-6895
-----------------------------------------------------
Fax | 480-948-3750
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10645 N TATUM BLVD STE C200
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85028-3090
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-291-6895
-----------------------------------------------------
Fax | 480-948-3750
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ROZBEH TORABI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 602-561-1432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------