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Organization
OMNI AMBULATORY SURGERY CENTER INC.
Active
Organization
OMNI AMBULATORY SURGERY CENTER INC.
Active
Other names
Omni Ambulatory Surgery Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R NIKOLOV MD (MEDICAL DIRECTOR)
(310) 247-1932
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR STE 205, BEVERLY HILLS, CA 90210-4312
(310) 247-8978
(310) 425-3214
Mailing address
436 N BEDFORD DR STE 205, BEVERLY HILLS, CA 90210-4312
(310) 247-8978
(310) 425-3214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/29/2022
Last updated
08/03/2022
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