Healthcare Provider Details

I. General information

NPI: 1326107178
Provider Name (Legal Business Name): NORTH REXFORD CENTER FOR AMBULATORY SURG.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD SUITE. 301
BEVERLY HILLS CA
90210-5424
US

IV. Provider business mailing address

9601 WILSHIRE BLVD SUITE #1135
BEVERLY HILLS CA
90210-5213
US

V. Phone/Fax

Practice location:
  • Phone: 310-273-3647
  • Fax: 310-273-5601
Mailing address:
  • Phone: 310-273-3647
  • Fax: 310-273-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA41518
License Number StateCA

VIII. Authorized Official

Name: ARMAND NEWMAN
Title or Position: DIRECTOR
Credential:
Phone: 310-273-3647