ROXBURY SPECIALTY SURGERY CENTER LLC NPI 1790109312

NPI Information

  • NPI: 1790109312
  • Provider Name: ROXBURY SPECIALTY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: ABDULLAH J KHALIL SOLE MBR
  • Address: 436 N ROXBURY DR
    SUITE 207
    BEVERLY HILLS, CA
    ZIP 90210
  • Phone: (310) 385-2601

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NPI Details

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
1261QA1903XClinic/CenterAmbulatory Surgical104151CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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