ROXBURY CLINIC AND SURGERY CENTER INC NPI 1003001967

NPI Information

NPI: 1003001967
Provider Name: ROXBURY CLINIC AND SURGERY CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1060890

Address:
465 N ROXBURY DR
SUITE 1001
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 248-6250
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ROXBURY CLINIC AND SURGERY CENTER INC is an ambulatory surgical clinic center in Beverly Hills, CA. ROXBURY CLINIC AND SURGERY CENTER INC NPI is 1003001967. The provider is registered as an organization entity type.

The provider's business location address is:

465 N ROXBURY DR
SUITE 1001
BEVERLY HILLS, CA
ZIP 90210-206
Phone: (310) 248-6250
Fax: (310) 248-6258

The provider's authorized official is Chona Moore .
The authorized official title is Director Of Nursing and has the following contact phone number (310) 248-6250.

The CLIA number assigned to this NPI record is 05D1060890 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 6/9/2009.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S051658	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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