Healthcare Provider Details

I. General information

NPI: 1447712831
Provider Name (Legal Business Name): BEVERLY HILLS SPECIALTY SURGICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 WILSHIRE BLVD STE 415
BEVERLY HILLS CA
90211-1953
US

IV. Provider business mailing address

8929 WILSHIRE BLVD PH
BEVERLY HILLS CA
90211-1954
US

V. Phone/Fax

Practice location:
  • Phone: 424-512-1901
  • Fax:
Mailing address:
  • Phone: 424-512-1901
  • 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: WILLIAM RAHAL
Title or Position: OWNER
Credential:
Phone: 424-512-1901