Healthcare Provider Details

I. General information

NPI: 1952534729
Provider Name (Legal Business Name): BEVERLY HILLS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 08/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 WILSHIRE BLVD 106
BEVERLY HILLS CA
90211-1838
US

IV. Provider business mailing address

9001 WILSHIRE BLVD 106
BEVERLY HILLS CA
90211-1838
US

V. Phone/Fax

Practice location:
  • Phone: 310-273-8849
  • Fax: 866-664-7321
Mailing address:
  • Phone: 310-273-8849
  • Fax: 866-664-7321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA84519
License Number StateCA

VIII. Authorized Official

Name: ARAMINTA E SALAZAR
Title or Position: ADMINISTRATOR
Credential:
Phone: 310-273-8849