Active NPI
Beverly Hills Lasky Surgicenter
Doing business as Beverly Hills Lasky Clinic Surgery Center
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1427482173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BEVERLY HILLS LASKY SURGICENTER
- Doing business as
- Beverly Hills Lasky Clinic Surgery Center
- Practice address
- 160 S Lasky Dr
Beverly Hills, CA 90212-1704 - Phone
- (310) 566-5663
- NPI assigned
- Aug 29, 2013
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- BEVERLY HILLS LASKY SURGICENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas C Cloud III, MPH
- Title
- Chairman Credentialing Committe
- Phone
- (323) 301-2178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
160 S Lasky Dr
Beverly Hills, CA 90212-1704
Mailing address
160 S Lasky Dr
Beverly Hills, CA 90212-1704
Phone (310) 566-5663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1371 | Other | CA | AAAASF |
Other names 1
- Beverly Hills Lasky Clinic Surgery Center
National Provider Directory
National Provider Directory- Tax ID family
- Beverly Hills Lasky Surgicenter
- Part of
- Beverly Hills Lasky Surgicenter
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing and Speech Clinic/Center
- Beverly Hills, CA
- NPI 1487989778
Locations
160 S Lasky Dr
Beverly Hills, CA 90212
Phone (310) 247-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1427482173",
"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": "310-566-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S LASKY DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121704",
"telephone_number": "310-566-5663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS LASKY SURGICENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEVERLY HILLS LASKY SURGICENTER",
"enumeration_date": "2013-08-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CLOUD",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHAIRMAN CREDENTIALING COMMITTE",
"authorized_official_telephone_number": "323-301-2178",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAAASF",
"identifier": "1371",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beverly Hills Lasky Clinic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly Hills, CA
- Beverly Hills Institute of Ophthalmology
- Beverly Hills Integrated Surgical, Inc
- Beverly Hills Laboratory, LLC
- Beverly Hills Lasky Clinic Surgery Center (Beverly Hills Lasky Surgicenter)
- Beverly Hills Lasky Surgery Center
- Beverly Hills Magnetic Imaging
- Beverly Hills Marriage and Family Therapy Center, Inc.
- Beverly Hills Medical Center
- Beverly Hills Medical Center for Cosmetic Surgery Inc
- Beverly Hills Medical Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.