Healthcare Provider Details

I. General information

NPI: 1104681444
Provider Name (Legal Business Name): TRUE SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S RODEO DR STE 220
BEVERLY HILLS CA
90212-2440
US

IV. Provider business mailing address

150 S RODEO DR STE 220
BEVERLY HILLS CA
90212-2440
US

V. Phone/Fax

Practice location:
  • Phone: 424-363-4112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARL TRUESDALE
Title or Position: PRESIDENT
Credential: MD
Phone: 424-363-4112