Provider Demographics
NPI:1750644480
Name:SURGERY CENTERS OF ARIZONA, PC
Entity type:Organization
Organization Name:SURGERY CENTERS OF ARIZONA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:RYCHLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-559-0252
Mailing Address - Street 1:PO BOX 27206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-0206
Mailing Address - Country:US
Mailing Address - Phone:213-385-0675
Mailing Address - Fax:213-365-6429
Practice Address - Street 1:8901 E MOUNTAIN VIEW RD STE 205
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4424
Practice Address - Country:US
Practice Address - Phone:480-559-0252
Practice Address - Fax:480-661-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical