Healthcare Provider Details
I. General information
NPI: 1871749952
Provider Name (Legal Business Name): COMPREHENSIVE OUTPATIENT SURGERY CTR LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2008
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 N ROBERTSON BLVD STE 104
BEVERLY HILLS CA
90211-1767
US
IV. Provider business mailing address
250 N ROBERTSON BLVD STE 104
BEVERLY HILLS CA
90211-1767
US
V. Phone/Fax
- Phone: 310-919-4179
- Fax: 818-643-4255
- Phone: 310-273-9255
- Fax: 818-643-4255
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 930000874 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
ALEXANDER
ZAKS
Title or Position: CEO
Credential: M.D.
Phone: 310-273-9255