Culver City Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G27267 Issued in CA

Legal business name

CULVER CITY SURGICAL CENTER

Practice address

9700 Venice Blvd
Culver City, CA 90232-2717

Phone

(310) 204-5822

Fax

(310) 204-2477

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By 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

Dr. George T Boris, M.D.NPI 1699833996

Title

Owner

Phone

(310) 204-5822

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George T Boris, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Culver City, CA
  • NPI 1699833996
  Authorized official Same address or phone

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1245494970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-204-5822",
            "fax_number": "310-204-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-204-5822",
            "fax_number": "310-204-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER CITY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BORIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-204-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G27267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Culver City Health Center
• Culver City Operations West, LLC
• Culver City Pediatrics
• Culver City Psychological Associates, Inc.
• Culver City Specialty and Podiatry Group
• Culver City Surgical Specialists, Inc
• Culver City Usd
• Culver Emergency Medical Group
• Culver Family& Urgent Care Medical Center
• Kazia Elizabeth Cumbler, AMFT

• Ambulatory Surgical Clinic/Center in Culver City, CA
• Providers in Culver City, 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 11, 2008; 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.