90210 SURGICAL ASSOCIATES LLC – NPI #1730583808
Clinic/Center

90210 SURGICAL ASSOCIATES LLC is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1730583808 to 90210 SURGICAL ASSOCIATES LLC on October 17, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Jan 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 90210 SURGICAL ASSOCIATES LLC below.

NPI Profile for
90210 SURGICAL ASSOCIATES LLC

NPI Number
1730583808
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
90210 SURGICAL ASSOCIATES LLC
Primary location
465 N ROXBURY DR
SUITE 1020
BEVERLY HILLS, CA 90210-4206
Phone: (310) 274-2763 Fax: (424) 239-5086
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FADI CHAHIN
MEDICAL DIRECTOR
Phone: (310) 274-2763
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.