Provider Demographics
NPI:1467037705
Name:HM SURGERY LLC
Entity Type:Organization
Organization Name:HM SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-853-0502
Mailing Address - Street 1:3972 BARRANCA PKWY STE J
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8291
Mailing Address - Country:US
Mailing Address - Phone:949-371-9862
Mailing Address - Fax:866-439-4879
Practice Address - Street 1:436 N ROXBURY DR STE 117
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5016
Practice Address - Country:US
Practice Address - Phone:310-853-0502
Practice Address - Fax:866-439-4879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical