Healthcare Provider Details

I. General information

NPI: 1508736620
Provider Name (Legal Business Name): HILLS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD SUITE 100
BEVERLY HILLS CA
90210
US

IV. Provider business mailing address

9301 WILSHIRE BLVD SUITE 100
BEVERLY HILLS CA
90210
US

V. Phone/Fax

Practice location:
  • Phone: 818-855-1507
  • Fax:
Mailing address:
  • Phone: 818-855-1557
  • 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: ASHISH SHAH
Title or Position: CEO
Credential: MD
Phone: 818-855-1507