ROXBURY SPECIALTY SURGERY CENTER LLC NPI 1790109312

NPI Information

NPI: 1790109312
Provider Name: ROXBURY SPECIALTY SURGERY CENTER, LLC

Former Legal Business Name: ABDULLAH J KHALIL SOLE MBR

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

Specialization: Ambulatory Surgical

Address:
436 N ROXBURY DR
SUITE 207
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 385-2601
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ROXBURY SPECIALTY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Beverly Hills, CA. ROXBURY SPECIALTY SURGERY CENTER, LLC NPI is 1790109312. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Abdullah J Khalil Sole Mbr.

The provider's business location address is:

436 N ROXBURY DR
SUITE 207
BEVERLY HILLS, CA
ZIP 90210-026
Phone: (310) 385-2601
Fax: (626) 331-3204

The provider's authorized official is Abdullah J Khalil .
The authorized official title is Owner and has the following contact phone number (310) 385-8601.

The enumeration date for this NPI number is 2/18/2014 and was last updated on 2/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	104151	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

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