Organization
MEDYCALL, INC
Active
Other names
BEVERLY HILLS SURGERY CENTER OF EXCELLENCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C CLOUD III MPH (ADMINISTRATOR)
(323) 301-2178
Entity
Organization
Contact information
Practice address
250 S LA CIENEGA BLVD, SUITE 100, BEVERLY HILLS, CA 90211-3302
(323) 301-2178
(866) 844-4712
Mailing address
PO BOX 162, BEVERLY HILLS, CA 90213-0162
(323) 301-2178
(866) 844-4712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C3549969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3126
AAAASF
CA
Enumeration date
01/08/2014
Last updated
02/14/2014
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