Organization
INNOVA SURGICAL INSTITUTE OF BEVERLY HILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY GOHAR MD (MEDICAL DIRECTOR)
(310) 275-4155
Entity
Organization
Contact information
Practice address
435 N ROXBURY DR STE 405, BEVERLY HILLS, CA 90210-5006
(310) 275-4155
Mailing address
435 N ROXBURY DR STE 405, BEVERLY HILLS, CA 90210-5006
(310) 275-4155
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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