Healthcare Provider Details

I. General information

NPI: 1447186838
Provider Name (Legal Business Name): BEVERLY HILLS SURGERY CENTER GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 500
LOS ANGELES CA
90067-2008
US

IV. Provider business mailing address

28245 AVENUE CROCKER STE 104
SANTA CLARITA CA
91355-1201
US

V. Phone/Fax

Practice location:
  • Phone: 661-388-4143
  • Fax:
Mailing address:
  • Phone: 661-388-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELLIOT LANDER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 661-388-4143