Beverly Hills Lasky Clinic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAASF 1371 Issued in CA

Legal business name

BEVERLY HILLS LASKY CLINIC SURGERY CENTER

Practice address

152 S Lasky Dr
Suite 106
Beverly Hills, CA 90212-1720

Phone

(323) 301-2178

Fax

(866) 844-4712

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Thomas C Cloud, MPH

Title

Medical Billing Manager

Phone

(323) 301-2178

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BEVERLY HILLS LASKY SURGICENTER Doing business as

Locations

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1124361282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121704",
            "telephone_number": "323-301-2178",
            "fax_number": "866-844-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR",
            "address_2": "SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121720",
            "telephone_number": "323-301-2178",
            "fax_number": "866-844-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS LASKY CLINIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "323-301-2178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "JACHO 538887",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "AAAASF 1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF CERTIFICATION",
            "identifier": "1371",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMISSION",
            "identifier": "538887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY HILLS LASKY SURGICENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Hills Hyperbarics, Inc.
• Beverly Hills Institute of Aesthetic and Reconstructive Surgery
• Beverly Hills Institute of Ophthalmology
• Beverly Hills Integrated Surgical, Inc
• Beverly Hills Laboratory, LLC
• Beverly Hills Lasky Surgery Center
• Beverly Hills Lasky Surgicenter
• Beverly Hills Magnetic Imaging
• Beverly Hills Marriage and Family Therapy Center, Inc.
• Beverly Hills Medical Center

• 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 30, 2013; 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.