# 90210 SURGERY CENTER

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

## Provider details

- **NPI number:** 1467747493
- **Authorized official:** DR. RENATO CALABRIA M,D., (OWNER)
- **Authorized official phone:** (310) 777-0069

## Contact information

- **Practice address:** 436 N. BEDFORD DR., SUITE 200, BEVERLY HILLS, CA 90210
- **Practice address phone:** (310) 777-0069
- **Mailing address:** 436 N BEDFORD DR STE 200, BEVERLY HILLS, CA 90210-4312
- **Mailing address phone:** (310) 777-0069
- **Mailing address fax:** (310) 858-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A43041 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011