# BELLAGIO SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1730726639
- **Authorized official:** DR. VISHAL KAPOOR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 913-1735

## 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

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019