Organization
EOS WELLNESS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA FARRAR (ACCREDITATION COORDINATOR)
(949) 337-3267
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD STE 305, BEVERLY HILLS, CA 90211-2921
(310) 730-1218
(310) 861-1053
Mailing address
8641 WILSHIRE BLVD STE 305, BEVERLY HILLS, CA 90211-2921
(310) 730-1218
(310) 861-1053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A112498
CA
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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