# BEVERLY AMBULATORY MED-SURG CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043079809
- **Authorized official:** DR. JAMSHID JAMES SHARIATI MD (PRESIDENT)
- **Authorized official phone:** (888) 225-7982

## Contact information

- **Practice address:** 401 W BEVERLY BLVD, MONTEBELLO, CA 90640-3620
- **Practice address phone:** (888) 225-7982
- **Practice address fax:** (888) 225-7982
- **Mailing address:** 1117 W MANCHESTER BLVD STE B, INGLEWOOD, CA 90301-1588
- **Mailing address phone:** (310) 403-7899
- **Mailing address fax:** (888) 225-7982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024