Organization
NOVA SURGICENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI M. FUNK M.D. (MEDICAL DIRECTOR)
(310) 273-8002
Entity
Organization
Contact information
Practice address
120 S SPALDING DR, STE. 205, BEVERLY HILLS, CA 90212-1800
(310) 273-8002
(310) 273-8608
Mailing address
120 S SPALDING DR, SUITE 205, BEVERLY HILLS, CA 90212-1800
(310) 273-8002
(310) 273-8608
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S551088
CA
Other
Enumeration date
09/08/2006
Last updated
05/18/2016
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