Healthcare Provider Details

I. General information

NPI: 1497634786
Provider Name (Legal Business Name): ROXBURY SURGICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

IV. Provider business mailing address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

V. Phone/Fax

Practice location:
  • Phone: 424-652-8801
  • Fax: 310-362-0319
Mailing address:
  • Phone: 424-652-8801
  • Fax: 310-362-0319

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. SEJAL MUKUND PATEL
Title or Position: OWNER
Credential: MD
Phone: 424-652-8801