Organization
BEVERLY HILLS OUTPATIENT SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNEET KUMAR CHANDAK MD (CEO)
(415) 595-8687
Entity
Organization
Contact information
Practice address
50 N LA CIENEGA BLVD STE 203, BEVERLY HILLS, CA 90211-2246
(510) 364-5000
Mailing address
39120 ARGONAUT WAY # 827, FREMONT, CA 94538-1304
(510) 715-9449
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A79514
—
CA
Enumeration date
09/24/2020
Last updated
02/20/2023
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