Organization · NPI-2

90210 Surgery Medical Center, LLC

Clinic/Center, Ophthalmologic Surgery · Beverly Hills, CA

NPI number1295769131
StatusActive
Last updated in NPPESOct 12, 2007

Details

NPI
1295769131
Entity type
Organization (NPI-2)
Legal business name
90210 Surgery Medical Center, LLC
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Oct 12, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS0132X Clinic/Center, Ophthalmologic Surgery930000805CAYes

Other names

  • 90210 Surgery Center, LLC (Other Name)

Practice location

450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4232

Phone 310-651-2280 · Fax 310-651-2260

Mailing address

450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4232

Phone 310-651-2280 · Fax 310-651-2260

Authorized official

Janna L. Esparza
Director Of Operations
9516990303

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