Provider Demographics
NPI:1871824326
Name:GEORGE SEMEL MD SURGERY CENTER
Entity Type:Organization
Organization Name:GEORGE SEMEL MD SURGERY CENTER
Other - Org Name:GEORGE SEMEL MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-277-0222
Mailing Address - Street 1:450 S BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4402
Mailing Address - Country:US
Mailing Address - Phone:310-277-0222
Mailing Address - Fax:310-277-9100
Practice Address - Street 1:450 S BEVERLY DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4402
Practice Address - Country:US
Practice Address - Phone:310-277-0222
Practice Address - Fax:310-277-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG10046261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical