Organization
BEVERLY HILLS LASKY CLINIC SURGERY CENTER
Active
Other names
BEVERLY HILLS LASKY SURGICENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C CLOUD MPH (MEDICAL BILLING MANAGER)
(323) 301-2178
Entity
Organization
Contact information
Practice address
152 S LASKY DR, SUITE 106, BEVERLY HILLS, CA 90212-1720
(323) 301-2178
(866) 844-4712
Mailing address
160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
(323) 301-2178
(866) 844-4712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AAAASF 1371
CA
261QA1903X
Ambulatory Surgical Clinic/Center
JACHO 538887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1371
AAAASF CERTIFICATION
CA
01
—
538887
JOINT COMISSION
CA
Enumeration date
03/27/2013
Last updated
07/30/2013
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