BEVERLY HILLS PREMIUM SURGERY NPI 1114380706

NPI Information

NPI: 1114380706
Provider Name: BEVERLY HILLS PREMIUM SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2131287

Address:
99 N LA CIENEGA BLVD # 102A
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 360-7368
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BEVERLY HILLS PREMIUM SURGERY is an ambulatory surgical clinic center in Beverly Hills, CA. BEVERLY HILLS PREMIUM SURGERY NPI is 1114380706. The provider is registered as an organization entity type.

The provider's business location address is:

99 N LA CIENEGA BLVD # 102A
BEVERLY HILLS, CA
ZIP 90211-222
Phone: (310) 360-7368
Fax: (310) 360-7370

The provider's authorized official is Bella M Shklyarenko .
The authorized official title is Manager and has the following contact phone number (310) 360-7368.

The CLIA number assigned to this NPI record is 05D2131287 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2016 and was last updated on 3/31/2016.

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

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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