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LA PEER SURGERY CENTER LLC NPI 1932214624


NPI Information

NPI: 1932214624
Provider Name: LA PEER SURGERY CENTER, LLC

Doing Business As: LA PEER HEALTH SYSTEMS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0991760

Address:
8920 WILSHIRE BLVD
SUITE 101
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 360-9119
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LA PEER SURGERY CENTER, LLC is an ambulatory surgical clinic center in Beverly Hills, CA. LA PEER SURGERY CENTER, LLC NPI is 1932214624. The provider is registered as an organization entity type.
The provider Is Doing Business As La Peer Health Systems.

The provider's business location address is:

8920 WILSHIRE BLVD
SUITE 101
BEVERLY HILLS, CA
ZIP 90211-007
Phone: (310) 360-9119
Fax: (310) 360-9115

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 05D0991760 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 2/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical930000968CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CNC 328407MEDICAIDCALIFORNIA

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

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