Provider Demographics
NPI:1083322689
Name:CARDIOVASCULAR SURGICENTER OF BEVERLY HILLS LLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR SURGICENTER OF BEVERLY HILLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, GOVERNING BODY
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSRANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-652-2744
Mailing Address - Street 1:8741 ALDEN DR STE C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3692
Mailing Address - Country:US
Mailing Address - Phone:310-652-2744
Mailing Address - Fax:
Practice Address - Street 1:8741 ALDEN DR STE C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3692
Practice Address - Country:US
Practice Address - Phone:310-652-2744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical