Organization
BEVERLY HILLS SUNSET SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MATLOCK (CHIEF OPERATIONS OFFICER)
(310) 887-1730
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVD, SUITE 405, LOS ANGELES, CA 90069-3701
(310) 887-1730
(310) 887-1734
Mailing address
9201 W. SUNSET BLVD, STE 405, LOS ANGELES, CA 90069
(310) 887-1730
(310) 887-1734
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
S051348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZH1943Z
BLUE SHIELD
CA
Enumeration date
03/09/2007
Last updated
06/21/2018
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