Healthcare Provider Details

I. General information

NPI: 1629854005
Provider Name (Legal Business Name): HALO BEVERLY HILLS SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 09/01/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 960 SUITE 960
BEVERLY HILLS CA
90210
US

IV. Provider business mailing address

433 N CAMDEN DR STE 960 SUITE 960
BEVERLY HILLS CA
90210
US

V. Phone/Fax

Practice location:
  • Phone: 310-772-0755
  • Fax: 310-772-0744
Mailing address:
  • Phone: 310-772-0755
  • Fax: 310-772-0744

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. DONALD YOO
Title or Position: MANAGER
Credential: M.D.
Phone: 310-772-0766