NPI Code Details Logo

NPI 1265308688

NPI 1265308688 : ASSIL GAUR EAGLE VISION, PC : BEVERLY HILLS, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265308688
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ASSIL GAUR EAGLE VISION, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2025
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    450 N ROXBURY DR FL 3 
-----------------------------------------------------
    City                 |    BEVERLY HILLS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90210-4238
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-651-2337
-----------------------------------------------------
    Fax                  |    213-462-3110
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    450 N ROXBURY DR FL 3 
-----------------------------------------------------
    City                 |    BEVERLY HILLS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90210-4238
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-651-2337
-----------------------------------------------------
    Fax                  |    213-462-3110
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    RCM DIRECTOR
-----------------------------------------------------
    Name                 |     CALVARY  ROS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    562-787-3889
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.