BEVERLY HILLS AESTHETIC FOOT SURGERY NPI 1710294277

NPI Information

NPI: 1710294277
Provider Name: BEVERLY HILLS AESTHETIC FOOT SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2049771

Address:
12265 VENTURA BLVD
NO. 107
STUDIO CITY, CA
ZIP 91604
Phone: (310) 691-5411
Get Directions

BEVERLY HILLS AESTHETIC FOOT SURGERY is an ambulatory surgical clinic center in Studio City, CA. BEVERLY HILLS AESTHETIC FOOT SURGERY NPI is 1710294277. The provider is registered as an organization entity type.

The provider's business location address is:

12265 VENTURA BLVD
NO. 107
STUDIO CITY, CA
ZIP 91604-528
Phone: (310) 691-5411
Fax: (310) 388-1658

The provider's authorized official is Ali Sadrieh .
The authorized official title is Owner and has the following contact phone number (310) 691-5411.

The CLIA number assigned to this NPI record is 05D2049771 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2010 and was last updated on 9/4/2010.

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	E4318	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »