SOMA SURGERY CENTER INC. NPI 1013275965

NPI Information

NPI: 1013275965
Provider Name: SOMA SURGERY CENTER INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2043170

Address:
8929 WILSHIRE BLVD STE 102
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 855-8936
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SOMA SURGERY CENTER INC. is an ambulatory surgical clinic center in Beverly Hills, CA. SOMA SURGERY CENTER INC. NPI is 1013275965. The provider is registered as an organization entity type.

The provider's business location address is:

8929 WILSHIRE BLVD STE 102
BEVERLY HILLS, CA
ZIP 90211-950
Phone: (310) 855-8936
Fax: (413) 643-6360

The provider's authorized official is Sean S Ravaei .
The authorized official title is Owner and has the following contact phone number (310) 673-0523.

The CLIA number assigned to this NPI record is 05D2043170 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 7/8/2013.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	00014995	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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