Organization
BEVERLY HILLS LASKY SURGICENTER
Active
Parent organization
BEVERLY HILLS LASKY SURGICENTER
Other names
Beverly Hills Lasky Clinic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEVERLY HILLS LASKY SURGICENTER
Authorized official
MR. THOMAS C CLOUD III MPH (CHAIRMAN CREDENTIALING COMMITTE)
(323) 301-2178
Entity
Organization
Contact information
Practice address
160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
(310) 566-5663
Mailing address
160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
(310) 566-5663
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1371
AAAASF
CA
Enumeration date
08/29/2013
Last updated
07/21/2022
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