Provider Demographics
NPI:1427316868
Name:BEVERLY HILLS AMBULATORY SURGERY CENTER LLC
Entity type:Organization
Organization Name:BEVERLY HILLS AMBULATORY SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:213-483-4246
Mailing Address - Street 1:50 N LA CIENEGA BLVD
Mailing Address - Street 2:150
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2227
Mailing Address - Country:US
Mailing Address - Phone:323-988-3848
Mailing Address - Fax:323-988-2113
Practice Address - Street 1:50 N LA CIENEGA BLVD
Practice Address - Street 2:150
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3143
Practice Address - Country:US
Practice Address - Phone:323-988-3848
Practice Address - Fax:323-988-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical