Organization
BELLAGIO SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL KAPOOR MD (MEDICAL DIRECTOR)
(310) 913-1735
Entity
Organization
Contact information
Practice address
436 N ROXBURY DR STE 117, BEVERLY HILLS, CA 90210-5016
(310) 385-9623
Mailing address
436 N ROXBURY DR STE 117, BEVERLY HILLS, CA 90210-5016
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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