SUMMIT SURGICAL ASSOCIATES LLC NPI 1740371665

NPI Information

NPI: 1740371665
Provider Name: SUMMIT SURGICAL ASSOCIATES LLC

Doing Business As: SUMMIT SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2030095

Address:
416 N BEDFORD DR STE 400
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 275-5566
Get Directions

SUMMIT SURGICAL ASSOCIATES LLC is an ambulatory surgical clinic center in Beverly Hills, CA. SUMMIT SURGICAL ASSOCIATES LLC NPI is 1740371665. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Surgical Center.

The provider's business location address is:

416 N BEDFORD DR STE 400
BEVERLY HILLS, CA
ZIP 90210-318
Phone: (310) 275-5566
Fax: (310) 271-0521

The provider's authorized official is Debbie Lee Krawczyk .
The authorized official title is Administrator and has the following contact phone number (310) 859-9988.

The CLIA number assigned to this NPI record is 05D2030095 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 5/2/2018.

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			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2276	OTHER		ASF CERT NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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