Healthcare Provider Details

I. General information

NPI: 1811127608
Provider Name (Legal Business Name): SURGIWOLRD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 N ROXBURY DR 1012
BEVERLY HILLS CA
90210-4206
US

IV. Provider business mailing address

465 N ROXBURY DR 1012
BEVERLY HILLS CA
90210-4206
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-0590
  • Fax: 310-385-8759
Mailing address:
  • Phone: 310-385-0590
  • Fax: 310-385-8759

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. STEVEN A BURRES
Title or Position: OWNER
Credential: M.D.,
Phone: 310-385-0590