Provider Demographics
NPI:1891477899
Name:BEVERLY HILLS PREMIER SURGICAL INSTITUTE, INC.
Entity Type:Organization
Organization Name:BEVERLY HILLS PREMIER SURGICAL INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-474-1910
Mailing Address - Street 1:9025 WILSHIRE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1825
Mailing Address - Country:US
Mailing Address - Phone:213-474-1910
Mailing Address - Fax:888-858-4059
Practice Address - Street 1:9025 WILSHIRE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1825
Practice Address - Country:US
Practice Address - Phone:213-474-1910
Practice Address - Fax:888-858-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical