90210 SURGERY MEDICAL CENTER LLC NPI 1902851009

NPI Information

90210 SURGERY MEDICAL CENTER, LLC is an ambulatory surgical clinic center in Beverly Hills, CA. 90210 SURGERY MEDICAL CENTER, LLC NPI is 1902851009. The provider is registered as an organization entity type.
The provider Is Doing Business As 90210 Surgery Medical Center At Linden.

The provider's business location address is:

9735 WILSHIRE BLVD
SUITE 100
BEVERLY HILLS, CA
ZIP 90212-107
Phone: (310) 601-3900
Fax: (310) 601-3905

The provider's authorized official is Brian Giessler .
The authorized official title is Coo and has the following contact phone number (480) 207-3716.

The CLIA number assigned to this NPI record is 05D1039831 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/23/2018.

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:

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