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General NPI Number Information
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NPI Number | 1023039682
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS ENDOSCOPY LLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 8920 WILSHIRE BLVD STE 320
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2003
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Country | US
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Telephone | 310-888-8898
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Fax | 310-888-8814
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Provider Business Mailing Address
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Address Line | 8920 WILSHIRE BLVD STE 320
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2003
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Country | US
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Telephone | 310-888-8898
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Fax | 310-888-8814
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SORAYA ROSS
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Credential | M.D.
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Telephone | 310-888-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | CA
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