# BEVERLY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1083068423
- **Authorized official:** DR. DAVIS NGUYEN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 550-0288

## Contact information

- **Practice address:** 450 S BEVERLY DR, BEVERLY HILLS, CA 90212-4402
- **Practice address phone:** (310) 550-0288
- **Practice address fax:** (310) 550-1797
- **Mailing address:** 450 S BEVERLY DR, BEVERLY HILLS, CA 90212-4402
- **Mailing address phone:** (310) 550-0288
- **Mailing address fax:** (310) 550-1797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A84628 | CA | Yes |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 07/18/2016