Organization Active NPI

Beverly Hills Wellness Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1396984936
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
83468 Issued in CA
Legal business name
BEVERLY HILLS WELLNESS SURGERY CENTER, LLC
Practice address
436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016
Phone
(310) 385-9623
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Vishal Kapoor, M.D.
Title
Medical Director
Phone
(310) 385-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 83468 CA Primary

Addresses

Primary practice location

436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016

Mailing address

436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016
Phone (310) 385-9623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1396984936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 117",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "310-385-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 117",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "310-385-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS WELLNESS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-385-9623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "83468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.