Provider Demographics
NPI:1467240382
Name:TOVSURGICAL
Entity type:Organization
Organization Name:TOVSURGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GHATAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-613-0551
Mailing Address - Street 1:99 N LA CIENEGA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2286
Mailing Address - Country:US
Mailing Address - Phone:855-786-7846
Mailing Address - Fax:818-471-4699
Practice Address - Street 1:99 N LA CIENEGA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2286
Practice Address - Country:US
Practice Address - Phone:855-786-7846
Practice Address - Fax:818-471-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical