90210 SURGERY CENTER NPI 1467747493

NPI Information

  • NPI: 1467747493
  • Provider Name: 90210 SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2113818
  • Address: 436 N. BEDFORD DR., SUITE 200
    BEVERLY HILLS, CA
    ZIP 90210
  • Phone: (310) 777-0069

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NPI Details

90210 SURGERY CENTER is an ambulatory surgical clinic center in Beverly Hills, CA. 90210 SURGERY CENTER NPI is 1467747493. The provider is registered as an organization entity type.

The provider's business location address is:

436 N. BEDFORD DR., SUITE 200
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 777-0069

The provider's authorized official is Renato Calabria .
The authorized official title is Owner and has the following contact phone number (310) 777-0069.

The CLIA number assigned to this NPI record is 05D2113818 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2011 and was last updated on 6/17/2011.

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
1261QA1903XClinic/CenterAmbulatory SurgicalA43041CALIFORNIAYes

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: 3/30/2025

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