Provider Demographics
NPI:1235500380
Name:BEVERLY HILLS SURGICAL INSTITUTE INC
Entity Type:Organization
Organization Name:BEVERLY HILLS SURGICAL INSTITUTE INC
Other - Org Name:BHSI
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-913-1735
Mailing Address - Street 1:436 N ROXBURY DR STE 117
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5016
Mailing Address - Country:US
Mailing Address - Phone:310-385-9623
Mailing Address - Fax:310-913-8450
Practice Address - Street 1:438 E KATELLA AVE
Practice Address - Street 2:D
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-4839
Practice Address - Country:US
Practice Address - Phone:424-202-0325
Practice Address - Fax:310-385-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82791261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical