BEVERLY HILLS SURGICAL & MEDICAL CENTER NPI 1053719773

NPI Information

NPI: 1053719773
Provider Name: BEVERLY HILLS SURGICAL & MEDICAL CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2034934

Address:
8500 WILSHIRE BLVD STE 1020
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 360-0504
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BEVERLY HILLS SURGICAL & MEDICAL CENTER is an ambulatory surgical clinic center in Beverly Hills, CA. BEVERLY HILLS SURGICAL & MEDICAL CENTER NPI is 1053719773. The provider is registered as an organization entity type.

The provider's business location address is:

8500 WILSHIRE BLVD STE 1020
BEVERLY HILLS, CA
ZIP 90211-108
Phone: (310) 360-0504

The provider's authorized official is Fardad Forouzanpour .
The authorized official title is Director and has the following contact phone number (310) 360-0504.

The CLIA number assigned to this NPI record is 05D2034934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 1/24/2024.

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	2OA7188	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

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