Beverly Hills Sunset Surgery Center, Inc

Primary specialty

Special HospitalTaxonomy code 284300000X

License

S051348 Issued in CA

Legal business name

BEVERLY HILLS SUNSET SURGERY CENTER, INC

Practice address

9201 W Sunset Blvd
Suite 405
Los Angeles, CA 90069-3701

Phone

(310) 887-1730

Fax

(310) 887-1734

NPI assigned

Mar 9, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Matlock

Title

Chief Operations Officer

Phone

(310) 887-1730

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205968070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W. SUNSET BLVD",
            "address_2": "STE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-887-1730",
            "fax_number": "310-887-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD",
            "address_2": "SUITE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-887-1730",
            "fax_number": "310-887-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SUNSET SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "310-887-1730"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "S051348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH1943Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Senior Care Facility Inc (Beverly Hills Gardens Care Center)
• Beverly Hills Shoulder and Knee a Medical Corporation
• Beverly Hills Specialty Care Surgery
• Beverly Hills Spine and Pain Inc
• Beverly Hills Sunset Medical Group
• Beverly Hills Surgery Center Group
• Beverly Hills Terrace LLC (Beverly Hills Terrace)
• Beverly Hills Therapy and Family Counseling
• Beverly Hills Tower Inc (Century City Medical Plaza Pharmacy)
• Beverly Hills Wellness Center Inc

• Special Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.