# BEVERLY CENTURY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1255913661
- **Authorized official:** BABAK MOEINOLMOLKI MD (PRESIDENT)
- **Authorized official phone:** (443) 831-2561

## Contact information

- **Practice address:** 2080 CENTURY PARK E STE 509, LOS ANGELES, CA 90067-2008
- **Practice address phone:** (310) 694-4486
- **Practice address fax:** (310) 363-7617
- **Mailing address:** 2080 CENTURY PARK E STE 501, LOS ANGELES, CA 90067-2008
- **Mailing address phone:** (310) 694-4486
- **Mailing address fax:** (310) 363-7617

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2021
- **Last updated:** 04/25/2021