Healthcare Provider Details

I. General information

NPI: 1932478294
Provider Name (Legal Business Name): SINAI SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N LA CIENEGA BLVD STE 303
BEVERLY HILLS CA
90211-2283
US

IV. Provider business mailing address

99 N LA CIENEGA BLVD STE 303
BEVERLY HILLS CA
90211-2283
US

V. Phone/Fax

Practice location:
  • Phone: 800-529-3962
  • Fax: 424-456-9413
Mailing address:
  • Phone: 800-529-3962
  • Fax: 424-456-9413

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: MR. JEFF ROBERTSON
Title or Position: CEO - ADMINISTRATOR
Credential:
Phone: 800-529-3962