Healthcare Provider Details

I. General information

NPI: 1770171852
Provider Name (Legal Business Name): SURGERY CENTER OF SANTA MONICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S RODEO DR STE 200
BEVERLY HILLS CA
90212-2440
US

IV. Provider business mailing address

150 S RODEO DR STE 200
BEVERLY HILLS CA
90212-2440
US

V. Phone/Fax

Practice location:
  • Phone: 310-584-9990
  • Fax: 310-584-9992
Mailing address:
  • Phone: 310-584-9990
  • Fax: 310-584-9992

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: MICHAEL ZARRABI
Title or Position: DOCTOR
Credential:
Phone: 310-584-9990