Healthcare Provider Details

I. General information

NPI: 1881146298
Provider Name (Legal Business Name): BHC SURGICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 N ROXBURY DR SUITE 750
BEVERLY HILLS CA
90210-4206
US

IV. Provider business mailing address

465 N ROXBURY DR SUITE 750
BEVERLY HILLS CA
90210-4206
US

V. Phone/Fax

Practice location:
  • Phone: 310-288-0641
  • Fax:
Mailing address:
  • Phone: 310-288-0641
  • 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. BENJAMIN TALEI
Title or Position: CHAIRMAN, GOVERNING BODY
Credential: M.D.
Phone: 310-288-0641