Organization Active NPI

Lasky Drive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1649045493
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LASKY DRIVE SURGERY CENTER
Practice address
152 S Lasky Dr Ste 102
Beverly Hills, CA 90212-1715
Phone
(310) 550-9858
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Shahrad Rady Rahban, MDNPI 1336173392
Title
Medical Director
Phone
(310) 550-9858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

152 S Lasky Dr Ste 102
Beverly Hills, CA 90212-1715

Mailing address

152 S Lasky Dr Ste 102
Beverly Hills, CA 90212-1715
Phone (310) 550-9858

National Provider Directory

National Provider Directory

Locations

152 S Lasky Dr
Ste 102
Beverly Hills, CA 90212
Phone (310) 550-9858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1649045493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121715",
            "telephone_number": "310-550-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121715",
            "telephone_number": "310-550-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASKY DRIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "RAHBAN",
        "authorized_official_first_name": "SHAHRAD",
        "authorized_official_middle_name": "RADY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-550-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Mar 18, 2024; 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.