Provider Demographics
NPI:1033547062
Name:MEE AMBULATORY SURGERY CENTER INC
Entity Type:Organization
Organization Name:MEE AMBULATORY SURGERY CENTER INC
Other - Org Name:MEE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHABATIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-774-2777
Mailing Address - Street 1:18425 BURBANK BLVD.
Mailing Address - Street 2:SUITE 105-A
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2868
Mailing Address - Country:US
Mailing Address - Phone:818-774-2777
Mailing Address - Fax:
Practice Address - Street 1:18425 BURBANK BLVD.
Practice Address - Street 2:SUITE 105-A
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2868
Practice Address - Country:US
Practice Address - Phone:818-774-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical