EOS WELLNESS SURGERY CENTER LLC NPI 1801384987

NPI Information

  • NPI: 1801384987
  • Provider Name: EOS WELLNESS SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2127223
  • Address: 8641 WILSHIRE BLVD STE 305
    BEVERLY HILLS, CA
    ZIP 90211
  • Phone: (310) 730-1218

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NPI Details

EOS WELLNESS SURGERY CENTER LLC is an ambulatory surgical clinic center in Beverly Hills, CA. EOS WELLNESS SURGERY CENTER LLC NPI is 1801384987. The provider is registered as an organization entity type.

The provider's business location address is:

8641 WILSHIRE BLVD STE 305
BEVERLY HILLS, CA
ZIP 90211-921
Phone: (310) 730-1218
Fax: (310) 861-1053

The provider's authorized official is Luana Farrar .
The authorized official title is Accreditation Coordinator and has the following contact phone number (949) 337-3267.

The CLIA number assigned to this NPI record is 05D2127223 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 4/25/2018.

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
1261QA1903XClinic/CenterAmbulatory SurgicalA112498CALIFORNIAYes

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: 11/21/2025

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