Provider Demographics
NPI:1023391141
Name:ADVANCED MULTISPECIALTY SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ADVANCED MULTISPECIALTY SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-659-0989
Mailing Address - Street 1:1015 GAYLEY AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3475
Mailing Address - Country:US
Mailing Address - Phone:310-289-7770
Mailing Address - Fax:310-289-7771
Practice Address - Street 1:1015 GAYLEY AVE STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3475
Practice Address - Country:US
Practice Address - Phone:310-289-7770
Practice Address - Fax:310-289-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-25
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical