90210 SURGERY CENTER NPI 1467747493

NPI Information

NPI: 1467747493
Provider Name: 90210 SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2113818

Address:
436 N. BEDFORD DR., SUITE 200
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 777-0069
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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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A43041	CALIFORNIA	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

NPI Synchronization or Removal

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