SURGEON SERVICES PROFESSIONAL CORPORATION NPI 1861755654

NPI Information

SURGEON SERVICES PROFESSIONAL CORPORATION is an otolaryngology/facial plastic surgery otolaryngology in Beverly Hills, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SURGEON SERVICES PROFESSIONAL CORPORATION NPI is 1861755654. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9400 BRIGHTON WAY
PENTHOUSE
BEVERLY HILLS, CA
ZIP 90210-714
Phone: (310) 859-9816
Fax: (310) 859-9815

The provider's authorized official is Jason Diamond .
The authorized official title is Sole Owner and has the following contact phone number (310) 859-9816.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.

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:

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