# MEDSURGICAL

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

## Provider details

- **NPI number:** 1992683429
- **Authorized official:** DR. ALEXANDER GHATAN DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (855) 786-7846

## Contact information

- **Practice address:** 99 N LA CIENEGA BLVD STE 109, BEVERLY HILLS, CA 90211-2286
- **Practice address phone:** (310) 683-7536
- **Mailing address:** 99 N LA CIENEGA BLVD STE 109, BEVERLY HILLS, CA 90211-2286

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2025
- **Last updated:** 08/22/2025