Organization
OMNI AMBULATORY SURGERY CENTER INC.
Active
Other names
Omni Ambulatory Surgery Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R NIKOLOV MD (MEDICAL DIRECTOR)
(310) 247-1932
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR STE 205, BEVERLY HILLS, CA 90210-4312
(310) 247-8978
(310) 425-3214
Mailing address
436 N BEDFORD DR STE 205, BEVERLY HILLS, CA 90210-4312
(310) 247-8978
(310) 425-3214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
08/03/2022
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