# BACK INSTITUTE SURGERY CENTER OF BEVERLY HILLS

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

## Provider details

- **NPI number:** 1134326119
- **Authorized official:** DARREN KIM (ADMINISTRATOR)
- **Authorized official phone:** (310) 551-0690

## Contact information

- **Practice address:** 220 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-2811
- **Practice address phone:** (310) 551-0690
- **Mailing address:** 920 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1612

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 02/26/2009