BEDFORD AMBULATORY SURGERY CENTER NPI 1356494512

NPI Information

NPI: 1356494512
Provider Name: BEDFORD AMBULATORY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2092586

Address:
436 N BEDFORD DR
STE. 215
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 247-1932
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BEDFORD AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Beverly Hills, CA. BEDFORD AMBULATORY SURGERY CENTER NPI is 1356494512. The provider is registered as an organization entity type.

The provider's business location address is:

436 N BEDFORD DR
STE. 215
BEVERLY HILLS, CA
ZIP 90210-310
Phone: (310) 247-1932
Fax: (310) 247-8140

The provider's authorized official is Nicholas R. Nikolov .
The authorized official title is Owner and has the following contact phone number (310) 247-1932.

The CLIA number assigned to this NPI record is 05D2092586 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 10/21/2011.

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: 11/14/2023

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