Organization
90210 SURGERY MEDICAL CENTER, LLC
Active
Other names
90210 SURGERY CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA L. ESPARZA (DIRECTOR OF OPERATIONS)
(951) 699-0303
Entity
Organization
Contact information
Practice address
450 N ROXBURY DR, SUITE 600, BEVERLY HILLS, CA 90210-4232
(310) 651-2280
(310) 651-2260
Mailing address
450 N ROXBURY DR, SUITE 600, BEVERLY HILLS, CA 90210-4232
(310) 651-2280
(310) 651-2260
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01031G
—
CA
Enumeration date
07/10/2006
Last updated
10/12/2007
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