Provider Demographics
NPI:1972777910
Name:SURGICAL ARTS OF BEVERLY HILLS, INC.
Entity type:Organization
Organization Name:SURGICAL ARTS OF BEVERLY HILLS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-858-7500
Mailing Address - Street 1:9401 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2928
Mailing Address - Country:US
Mailing Address - Phone:310-858-7500
Mailing Address - Fax:310-858-2275
Practice Address - Street 1:9401 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1105
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2928
Practice Address - Country:US
Practice Address - Phone:310-858-7500
Practice Address - Fax:310-858-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86810207T00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty