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General NPI Number Information
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NPI Number | 1447712831
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS SPECIALTY SURGICAL CENTER, INC.
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 8929 WILSHIRE BLVD STE 415
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1953
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Country | US
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Telephone | 424-512-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 8929 WILSHIRE BLVD PH
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1954
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Country | US
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Telephone | 424-512-1901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM RAHAL
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Credential |
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Telephone | 424-512-1901
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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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