Healthcare Provider Details

I. General information

NPI: 1841179520
Provider Name (Legal Business Name): YUVIA SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 WILSHIRE BLVD STE 103
BEVERLY HILLS CA
90211-1950
US

IV. Provider business mailing address

340 EL CAMINO DR
BEVERLY HILLS CA
90212-4212
US

V. Phone/Fax

Practice location:
  • Phone: 310-855-8936
  • Fax:
Mailing address:
  • Phone: 310-673-0523
  • 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: SEAN S. RAVAEI
Title or Position: MEDICAL DIRECTOR
Credential: DPM
Phone: 310-673-0523