Healthcare Provider Details

I. General information

NPI: 1427316868
Provider Name (Legal Business Name): BEVERLY HILLS AMBULATORY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD 150
BEVERLY HILLS CA
90211-3143
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD 150
BEVERLY HILLS CA
90211-2227
US

V. Phone/Fax

Practice location:
  • Phone: 323-988-3848
  • Fax: 323-988-2113
Mailing address:
  • Phone: 323-988-3848
  • Fax: 323-988-2113

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: DR. SCHLOMO SCHMUEL
Title or Position: MEDICAL DIRECTOR
Credential: DPM
Phone: 213-483-4246