Healthcare Provider Details

I. General information

NPI: 1891477899
Provider Name (Legal Business Name): BEVERLY HILLS PREMIER SURGICAL INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9025 WILSHIRE BLVD STE 203
BEVERLY HILLS CA
90211-1825
US

IV. Provider business mailing address

9025 WILSHIRE BLVD STE 203
BEVERLY HILLS CA
90211-1825
US

V. Phone/Fax

Practice location:
  • Phone: 213-474-1910
  • Fax: 888-858-4059
Mailing address:
  • Phone: 213-474-1910
  • Fax: 888-858-4059

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: ANDY NAVID
Title or Position: PRESIDENT
Credential:
Phone: 213-474-1910