MIKO SURGERY CENTER INC. NPI 1881028629

NPI Information

NPI: 1881028629
Provider Name: MIKO SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2078629

Address:
435 N ROXBURY DR
SUITE 205B
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 275-2705
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MIKO SURGERY CENTER, INC. is an ambulatory surgical clinic center in Beverly Hills, CA. MIKO SURGERY CENTER, INC. NPI is 1881028629. The provider is registered as an organization entity type.

The provider's business location address is:

435 N ROXBURY DR
SUITE 205B
BEVERLY HILLS, CA
ZIP 90210-027
Phone: (310) 275-2705
Fax: (310) 275-2701

The provider's authorized official is Michael K Obeng .
The authorized official title is Ceo and has the following contact phone number (310) 275-2705.

The CLIA number assigned to this NPI record is 05D2078629 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 12/31/2013.

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	AAAASF	CALIFORNIA	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	5250	OTHER	CALIFORNIA	AAAASF CLASS C

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

NPI Synchronization or Removal

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