Healthcare Provider Details

I. General information

NPI: 1871486704
Provider Name (Legal Business Name): NEXUS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 1111
LOS ANGELES CA
90067-2029
US

IV. Provider business mailing address

8500 WILSHIRE BLVD STE 1018
BEVERLY HILLS CA
90211-3108
US

V. Phone/Fax

Practice location:
  • Phone: 310-747-7246
  • Fax: 310-439-7246
Mailing address:
  • Phone: 310-747-7246
  • Fax: 310-439-7246

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: LAWRENCE MILLER
Title or Position: PRESIDENT
Credential: MD
Phone: 310-747-7246