Healthcare Provider Details

I. General information

NPI: 1467037705
Provider Name (Legal Business Name): HM SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N ROXBURY DR STE 117
BEVERLY HILLS CA
90210-5016
US

IV. Provider business mailing address

3972 BARRANCA PKWY STE J
IRVINE CA
92606-8291
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-0502
  • Fax: 866-439-4879
Mailing address:
  • Phone: 949-371-9862
  • Fax: 866-439-4879

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. MARCO M ZAHEDI
Title or Position: OWNER
Credential: MD
Phone: 310-853-0502