Healthcare Provider Details

I. General information

NPI: 1851270334
Provider Name (Legal Business Name): NASSERI SURGERY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9735 WILSHIRE BLVD 314
BEVERLY HILLS CA
90212
US

IV. Provider business mailing address

9663 SANTA MONICA BLVD 644
BEVERLY HILLS CA
90210
US

V. Phone/Fax

Practice location:
  • Phone: 310-289-8200
  • 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: DR. SHAWN S NASSERI
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 310-289-8200