Healthcare Provider Details

I. General information

NPI: 1427075142
Provider Name (Legal Business Name): SPALDING SURGICAL CENTER OF BEVERLY HILLS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S. SPALDING DRIVE SUITE 301
BEVERLY HILLS CA
90212-1800
US

IV. Provider business mailing address

1809 E. DYER ROAD SUITE #311
SANTA ANA CA
92705
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-7755
  • Fax: 310-385-0874
Mailing address:
  • Phone: 949-863-0022
  • Fax: 949-606-9574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES SHERMAN
Title or Position: CEO
Credential: M.D.
Phone: 310-385-7755