Healthcare Provider Details
I. General information
NPI: 1407379381
Provider Name (Legal Business Name): CITY VIEW SURGERY CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8929 WILSHIRE BLVD STE 215
BEVERLY HILLS CA
90211-1951
US
IV. Provider business mailing address
8929 WILSHIRE BLVD STE 215
BEVERLY HILLS CA
90211-1951
US
V. Phone/Fax
- Phone: 310-890-1990
- Fax:
- Phone: 310-890-1990
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAMIN
RABBANI
Title or Position: PRESIDENT / OWNER
Credential: MD
Phone: 310-890-1990