Healthcare Provider Details

I. General information

NPI: 1689831760
Provider Name (Legal Business Name): REXFORD SURGICAL INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD SUITE 401
BEVERLY HILLS CA
90210-5424
US

IV. Provider business mailing address

9301 WILSHIRE BLVD SUITE 401
BEVERLY HILLS CA
90210-5424
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-3484
  • Fax: 310-274-3482
Mailing address:
  • Phone: 310-274-3484
  • Fax: 310-274-3482

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: MS. GRISELDA RAMIREZ
Title or Position: SUPERVISOR
Credential:
Phone: 310-274-3484