Provider Demographics
NPI:1629854005
Name:HALO BEVERLY HILLS SURGERY CENTER
Entity Type:Organization
Organization Name:HALO BEVERLY HILLS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-772-0766
Mailing Address - Street 1:433 N CAMDEN DR STE 960
Mailing Address - Street 2:SUITE 960
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-772-0755
Mailing Address - Fax:310-772-0744
Practice Address - Street 1:433 N CAMDEN DR STE 960
Practice Address - Street 2:SUITE 960
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-772-0755
Practice Address - Fax:310-772-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical