Provider Demographics
NPI:1770171852
Name:SURGERY CENTER OF SANTA MONICA LLC
Entity type:Organization
Organization Name:SURGERY CENTER OF SANTA MONICA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-584-9990
Mailing Address - Street 1:150 S RODEO DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2440
Mailing Address - Country:US
Mailing Address - Phone:310-584-9990
Mailing Address - Fax:310-584-9992
Practice Address - Street 1:150 S RODEO DR STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2440
Practice Address - Country:US
Practice Address - Phone:310-584-9990
Practice Address - Fax:310-584-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty