# BEVERLY HILLS WELLNESS SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1396984936
- **Authorized official:** DR. VISHAL KAPOOR M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 385-9623

## Contact information

- **Practice address:** 436 N ROXBURY DR STE 117, BEVERLY HILLS, CA 90210-5016
- **Practice address phone:** (310) 385-9623
- **Mailing address:** 436 N ROXBURY DR STE 117, BEVERLY HILLS, CA 90210-5016
- **Mailing address phone:** (310) 385-9623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 83468 | CA | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009