# BEVERLY HILLS SURGICAL CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508199506
- **Authorized official:** DR. RANDAL D HAWORTH M.D. (OWNER)
- **Authorized official phone:** (310) 273-3000

## Contact information

- **Practice address:** 436 N BEDFORD DRIVE, SUITE 105, BEVERLY HILLS, CA 90210
- **Practice address phone:** (310) 273-3000
- **Practice address fax:** (310) 273-8802
- **Mailing address:** 436 N BEDFORD DR, SUITE 105, BEVERLY HILLS, CA 90210-4310
- **Mailing address phone:** (310) 273-3000
- **Mailing address fax:** (310) 273-8802

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 09/09/2009