Organization
DOHENY ENDOSURGICAL CENTER INC
Active
Other names
Doheny Endosurgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C ELLIS M.D. (MEDICAL DIRECTOR)
(310) 550-0400
Entity
Organization
Contact information
Practice address
9090 WILSHIRE BLVD, SUITE 100, BEVERLY HILLS, CA 90211-1848
(310) 246-2555
(310) 285-0819
Mailing address
9090 WILSHIRE BLVD, SUITE 100, BEVERLY HILLS, CA 90211-1848
(310) 246-2555
(310) 285-0819
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
69377
CA
Other
Enumeration date
05/05/2006
Last updated
08/31/2015
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