Healthcare Provider Details

I. General information

NPI: 1114265519
Provider Name (Legal Business Name): PRECISION AMBULATORY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N ROXBURY DR SUITE 250
BEVERLY HILLS CA
90210-4231
US

IV. Provider business mailing address

450 N ROXBURY DR SUITE 250
BEVERLY HILLS CA
90210-4231
US

V. Phone/Fax

Practice location:
  • Phone: 310-651-2050
  • Fax: 310-651-2055
Mailing address:
  • Phone: 310-651-2050
  • Fax: 310-651-2055

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. KERRY M ASSIL
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 310-651-2050