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SPECIALTY SURGICAL CENTER LLC NPI 1174538748


NPI Information

NPI: 1174538748
Provider Name: SPECIALTY SURGICAL CENTER, LLC

Doing Business As: SPECIALTY SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0951762

Address:
9001 WILSHIRE BLVD
SUITE 100
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 275-2339
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SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Beverly Hills, CA. SPECIALTY SURGICAL CENTER, LLC NPI is 1174538748. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Surgical Center.

The provider's business location address is:

9001 WILSHIRE BLVD
SUITE 100
BEVERLY HILLS, CA
ZIP 90211-840
Phone: (310) 275-2339
Fax: (310) 275-2357

The provider's authorized official is Jennifer B Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 05D0951762 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIANo
2261QA1903XClinic/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: 4/28/2024

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