Provider Demographics
NPI:1912563685
Name:DELUXE SURGERY CENTER, INC
Entity Type:Organization
Organization Name:DELUXE SURGERY CENTER, INC
Other - Org Name:DELUXE SURGERY CENTER INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-861-7149
Mailing Address - Street 1:2701 W ALAMEDA AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4411
Mailing Address - Country:US
Mailing Address - Phone:818-983-1145
Mailing Address - Fax:
Practice Address - Street 1:2701 W ALAMEDA AVE STE 602
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4411
Practice Address - Country:US
Practice Address - Phone:818-983-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty