# NOVA SURGICENTER, INC

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

## Provider details

- **NPI number:** 1285738682
- **Authorized official:** KRISTI M. FUNK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 273-8002

## Contact information

- **Practice address:** 120 S SPALDING DR, STE. 205, BEVERLY HILLS, CA 90212-1800
- **Practice address phone:** (310) 273-8002
- **Practice address fax:** (310) 273-8608
- **Mailing address:** 120 S SPALDING DR, SUITE 205, BEVERLY HILLS, CA 90212-1800
- **Mailing address phone:** (310) 273-8002
- **Mailing address fax:** (310) 273-8608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S551088 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 05/18/2016