Organization
BEACON SURGICAL CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NASSIRI MD (MEDICAL DIRECTOR)
(310) 488-0776
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR FL 8, BEVERLY HILLS, CA 90210-4532
(310) 488-0776
Mailing address
9663 SANTA MONICA BLVD STE 628, BEVERLY HILLS, CA 90210-4303
(310) 488-0776
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
05/18/2020
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