Healthcare Provider Details

I. General information

NPI: 1609492040
Provider Name (Legal Business Name): BH OUTPATIENT SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD STE 110
BEVERLY HILLS CA
90211-2339
US

IV. Provider business mailing address

324 S BEVERLY DR STE 173
BEVERLY HILLS CA
90212-4801
US

V. Phone/Fax

Practice location:
  • Phone: 424-230-3557
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. ADAM SILVER
Title or Position: CHAIRMAN
Credential:
Phone: 424-230-3557