# ELITE OUTPATIENT SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1316455165
- **Authorized official:** MOHAMMAD R KHOSRAVI MD (CEO)
- **Authorized official phone:** (747) 477-1410

## Contact information

- **Practice address:** 50 N LA CIENEGA BLVD STE 150, BEVERLY HILLS, CA 90211-3143
- **Practice address phone:** (747) 477-1410
- **Practice address fax:** (747) 477-1412
- **Mailing address:** 50 N LA CIENEGA BLVD STE 150, BEVERLY HILLS, CA 90211-3143
- **Mailing address phone:** (747) 477-1410
- **Mailing address fax:** (747) 477-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 6656 | CA | Yes |

## Other

- **Enumeration date:** 01/15/2018
- **Last updated:** 09/02/2026