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General NPI Number Information
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NPI Number | 1447186838
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS SURGERY CENTER GROUP
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 500
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City | LOS ANGELES
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State | CA
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Zip | 90067-2008
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Country | US
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Telephone | 661-388-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 28245 AVENUE CROCKER STE 104
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City | SANTA CLARITA
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State | CA
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Zip | 91355-1201
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Country | US
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Telephone | 661-388-4143
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ELLIOT LANDER
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Credential | MD
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Telephone | 661-388-4143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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