# BEVERLY HILLS LASKY SURGICENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEVERLY HILLS LASKY SURGICENTER
- **Other names:** Beverly Hills Lasky Clinic Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427482173
- **Legal business name:** BEVERLY HILLS LASKY SURGICENTER
- **Authorized official:** MR. THOMAS C CLOUD III MPH (CHAIRMAN CREDENTIALING COMMITTE)
- **Authorized official phone:** (323) 301-2178

## Contact information

- **Practice address:** 160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
- **Practice address phone:** (310) 566-5663
- **Mailing address:** 160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
- **Mailing address phone:** (310) 566-5663

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 07/21/2022
