Organization
BEVERLY HILLS PREMIUM SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA M SHKLYARENKO (MANAGER)
(310) 360-7368
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD # 102A, BEVERLY HILLS, CA 90211-2222
(310) 360-7368
(310) 360-7370
Mailing address
99 N LA CIENEGA BLVD # 102A, BEVERLY HILLS, CA 90211-2222
(310) 360-7368
(310) 360-7370
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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