Provider Demographics
NPI:1780901520
Name:WESTWOOD EYE SURGICAL INSTITUTE, INC.
Entity type:Organization
Organization Name:WESTWOOD EYE SURGICAL INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:EBBIE
Authorized Official - Last Name:SOROUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-474-2010
Mailing Address - Street 1:8900 WILSHIRE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1959
Mailing Address - Country:US
Mailing Address - Phone:310-474-2010
Mailing Address - Fax:
Practice Address - Street 1:8900 WILSHIRE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1959
Practice Address - Country:US
Practice Address - Phone:310-474-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical