ADMIRALTY SURGERY CENTER INC NPI 1508293853

NPI Information

  • NPI: 1508293853
  • Provider Name: ADMIRALTY SURGERY CENTER, INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2069169
  • Address: 4640 ADMIRALTY WAY
    SUITE 718B
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 823-4444

Map and Directions

Get Directions

NPI Details

ADMIRALTY SURGERY CENTER, INC is an ambulatory surgical clinic center in Marina Del Rey, CA. ADMIRALTY SURGERY CENTER, INC NPI is 1508293853. The provider is registered as an organization entity type.

The provider's business location address is:

4640 ADMIRALTY WAY
SUITE 718B
MARINA DEL REY, CA
ZIP 90292-621
Phone: (310) 823-4444
Fax: (310) 363-7085

The provider's authorized official is Farhad Siagri .
The authorized official title is Owner and has the following contact phone number (310) 823-4444.

The CLIA number assigned to this NPI record is 05D2069169 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 10/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI