90210 SURGERY MEDICAL CENTER, LLC – NPI #1295769131
Clinic/Center

90210 SURGERY MEDICAL CENTER, LLC is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1295769131 to 90210 SURGERY MEDICAL CENTER, LLC on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 90210 SURGERY MEDICAL CENTER, LLC is also known by the name 90210 SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

The NPI profile was previously updated about 19 years ago on Oct 12, 2007. 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 SURGERY MEDICAL CENTER, LLC below.

NPI Profile for
90210 SURGERY MEDICAL CENTER, LLC

NPI Number
1295769131
Enumeration Date

(about 20 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 SURGERY MEDICAL CENTER, LLC
Other Name: 90210 SURGERY CENTER, LLC
Primary location
450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA 90210-4232
Phone: (310) 651-2280 Fax: (310) 651-2260
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANNA ESPARZA
DIRECTOR OF OPERATIONS
Phone: (951) 699-0303
Updated
Identifiers

Identifiers for 90210 SURGERY MEDICAL CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCASUR01031G
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
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (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.