Provider Demographics
NPI:1558881771
Name:BEL AIR SURGICAL INSTITUTE
Entity Type:Organization
Organization Name:BEL AIR SURGICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-207-2483
Mailing Address - Street 1:11847 WILSHIRE BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6634
Mailing Address - Country:US
Mailing Address - Phone:310-477-3954
Mailing Address - Fax:310-473-5103
Practice Address - Street 1:11847 WILSHIRE BLVD STE 302
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6634
Practice Address - Country:US
Practice Address - Phone:310-477-3954
Practice Address - Fax:310-473-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty