Organization
90210 SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FADI CHAHIN MD (MEDICAL DIRECTOR)
(310) 274-2763
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR, SUITE 1020, BEVERLY HILLS, CA 90210-4206
(310) 274-2763
(424) 239-5086
Mailing address
465 N ROXBURY DR, SUITE 1020, BEVERLY HILLS, CA 90210-4206
(310) 274-2763
(424) 239-5086
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
10/17/2014
Last updated
01/28/2015
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