90210 SURGICAL ASSOCIATES LLC NPI 1730583808

NPI Information

NPI: 1730583808
Provider Name: 90210 SURGICAL ASSOCIATES LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2087240

Address:
465 N ROXBURY DR
SUITE 1020
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 274-2763
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90210 SURGICAL ASSOCIATES LLC is an ambulatory surgical clinic center in Beverly Hills, CA. 90210 SURGICAL ASSOCIATES LLC NPI is 1730583808. The provider is registered as an organization entity type.

The provider's business location address is:

465 N ROXBURY DR
SUITE 1020
BEVERLY HILLS, CA
ZIP 90210-206
Phone: (310) 274-2763
Fax: (424) 239-5086

The provider's authorized official is Fadi Chahin .
The authorized official title is Medical Director and has the following contact phone number (310) 274-2763.

The CLIA number assigned to this NPI record is 05D2087240 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 1/28/2015.

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		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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