Beverly Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A84628 Issued in CA

Legal business name

BEVERLY SURGICAL CENTER

Practice address

450 S Beverly Dr
Beverly Hills, CA 90212-4402

Phone

(310) 550-0288

Fax

(310) 550-1797

NPI assigned

Apr 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Davis Nguyen, M.D.

Title

President

Phone

(310) 550-0288

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1083068423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124402",
            "telephone_number": "310-550-0288",
            "fax_number": "310-550-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124402",
            "telephone_number": "310-550-0288",
            "fax_number": "310-550-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-550-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A84628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Wellness and Vitality Inc
• Beverly Hills Wellness Surgery Center, LLC
• Beverly Radiology Medical Group
• Beverly Radiology Medical Group
• Beverly Radiology Medical Group
• Beverly Surgicenter, Inc.
• Beverly Wilshire Medical Imaging PC
• Beverly Wilshire Surgery Center, LLC
• Beveryl Hills Pharmacy Corp
• BH Acuhealth Clinic Inc

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.