# BEDFORD AMBULATORY SURGERY CENTER

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

## Provider details

- **NPI number:** 1356494512
- **Authorized official:** DR. NICHOLAS R. NIKOLOV IM.D. (OWNER)
- **Authorized official phone:** (310) 247-1932

## Contact information

- **Practice address:** 436 N BEDFORD DR, STE. 215, BEVERLY HILLS, CA 90210-4310
- **Practice address phone:** (310) 247-1932
- **Practice address fax:** (310) 247-8140
- **Mailing address:** 436 N BEDFORD DR, STE 215, BEVERLY HILLS, CA 90210-4310
- **Mailing address phone:** (310) 247-1932
- **Mailing address fax:** (310) 247-8140

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/21/2011