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90210 SURGERY MEDICAL CENTER LLC NPI 1295769131


NPI Information

NPI: 1295769131
Provider Name: 90210 SURGERY MEDICAL CENTER, LLC

Other Name: 90210 SURGERY CENTER, LLC

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 651-2280
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90210 SURGERY MEDICAL CENTER, LLC is an ophthalmologic surgery clinic center in Beverly Hills, CA. 90210 SURGERY MEDICAL CENTER, LLC NPI is 1295769131. The provider is registered as an organization entity type.
The provider Other Name Is 90210 Surgery Center, Llc.

The provider's business location address is:

450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA
ZIP 90210-232
Phone: (310) 651-2280
Fax: (310) 651-2260

The provider's authorized official is Janna L. Esparza .
The authorized official title is Director Of Operations and has the following contact phone number (951) 699-0303.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/12/2007.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S051031CMEDICARE PINCALIFORNIA
2SUR01031GMEDICAIDCALIFORNIA
3S051031BMEDICARE PINCALIFORNIA

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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