Healthcare Provider Details

I. General information

NPI: 1902333131
Provider Name (Legal Business Name): ALLURE AMBULATORY SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 05/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 WILSHIRE BLVD STE 325
BEVERLY HILLS CA
90211-2011
US

IV. Provider business mailing address

8920 WILSHIRE BLVD STE 325
BEVERLY HILLS CA
90211-2011
US

V. Phone/Fax

Practice location:
  • Phone: 310-275-2200
  • Fax: 310-282-9961
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN THOM
Title or Position: BILLING
Credential:
Phone: 412-965-0031