Socal Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOCAL OUTPATIENT SURGERY CENTER

Practice address

716 W Broadway
Glendale, CA 91204-1010

Phone

(818) 945-9845

Fax

(818) 945-0892

NPI assigned

Feb 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angel Samvalian

Title

Ceo

Phone

(818) 402-7759

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1568820892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023660",
            "telephone_number": "818-945-9845",
            "fax_number": "818-945-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041010",
            "telephone_number": "818-945-9845",
            "fax_number": "818-945-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "SAMVALIAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-402-7759"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socal Home Health, Inc.
• Socal Hospice Services, Inc.
• Socal Integrated Care, Inc
• Socal Med
• Socal Med Home Health Services, Inc.
• Socal Physical Therapy Associates Inc.
• Socal Ride LLC
• Socik Dikran
• Soft Cloud Hospice
• Soft Touch Hospice, Inc

• Ambulatory Surgical Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.