CHARLEVILLE SURGICENTER, A MEDICAL CORP. – NPI #1811071129
Clinic/Center

CHARLEVILLE SURGICENTER, A MEDICAL CORP. is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1811071129 to CHARLEVILLE SURGICENTER, A MEDICAL CORP. on October 24, 2006. 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 6 years ago on Aug 22, 2020. 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 CHARLEVILLE SURGICENTER, A MEDICAL CORP. below.

NPI Profile for
CHARLEVILLE SURGICENTER, A MEDICAL CORP.

NPI Number
1811071129
Enumeration Date

(more than 19 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
CHARLEVILLE SURGICENTER, A MEDICAL CORP.
Primary location
9884 SANTA MONICA BLVD
STE. 102
BEVERLY HILLS, CA 90212-1622
Phone: (310) 276-5856 Fax:
Mailing address
11999 SAN VICENTE BLVD
STE. 440
LOS ANGELES, CA 90049-5131
Phone: (310) 440-3131 Fax:
Organization Subpart
No
Authorized Official
ADRIEN AIACHE
OWNER
Phone: (310) 440-3131
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)

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.