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General NPI Number Information
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NPI Number | 1316829930
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS SURGICAL CORP.
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 433 N CAMDEN DR STE 1190
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4424
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Country | US
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Telephone | 310-299-9809
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Fax | 310-299-9835
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Provider Business Mailing Address
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Address Line | 453 S SPRING ST STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90013-2074
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Country | US
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Telephone | 310-299-9809
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Fax | 310-299-9835
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Authorized Official
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Title or Position | CEO
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Name | DR. GRAHAM IVES
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Credential | MD
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Telephone | 310-299-9809
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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 |
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