# JOHN M. ANASTASATOS M.D., INC.

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

## Provider details

- **NPI number:** 1912190752
- **Authorized official:** DR. JOHN M. ANASTASATOS M.D. (PRESIDENT)
- **Authorized official phone:** (310) 888-4048

## Contact information

- **Practice address:** 436 N BEDFORD DR, SUITE 200, BEVERLY HILLS, CA 90210-4310
- **Practice address phone:** (310) 888-4048
- **Practice address fax:** (310) 888-2827
- **Mailing address:** 436 N BEDFORD DR, SUITE 200, BEVERLY HILLS, CA 90210-4310
- **Mailing address phone:** (310) 888-4048
- **Mailing address fax:** (310) 888-2827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A92907 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/05/2010