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BEVERLY HILLS DERMATOLOGY SURGERY CENTER NPI 1669886388


NPI Information

NPI: 1669886388
Provider Name: BEVERLY HILLS DERMATOLOGY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
433 N CAMDEN DR STE 805
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 550-7661
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BEVERLY HILLS DERMATOLOGY SURGERY CENTER is an ambulatory surgical clinic center in Beverly Hills, CA. BEVERLY HILLS DERMATOLOGY SURGERY CENTER NPI is 1669886388. The provider is registered as an organization entity type.

The provider's business location address is:

433 N CAMDEN DR STE 805
BEVERLY HILLS, CA
ZIP 90210-412
Phone: (310) 550-7661
Fax: (310) 550-1920

The provider's authorized official is Letantia Bussell .
The authorized official title is Medical Director and has the following contact phone number (310) 550-7661.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 6/20/2014.


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 SurgicalCALIFORNIAYes

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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