Organization
BEDFORD AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R. NIKOLOV IM.D. (OWNER)
(310) 247-1932
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, STE. 215, BEVERLY HILLS, CA 90210-4310
(310) 247-1932
(310) 247-8140
Mailing address
436 N BEDFORD DR, STE 215, BEVERLY HILLS, CA 90210-4310
(310) 247-1932
(310) 247-8140
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
10/21/2011
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