Organization Active NPI

Beverly Hills Surgical Associates LLC

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1750034542
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BEVERLY HILLS SURGICAL ASSOCIATES LLC
Practice address
50 N la Cienega Blvd Ste 203
Beverly Hills, CA 90211-2246
Phone
(424) 527-0344
Fax
(424) 527-0346
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Puneet K Chandak, MD
Title
Ceo
Phone
(510) 364-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

50 N la Cienega Blvd Ste 203
Beverly Hills, CA 90211-2246

Mailing address

50 N la Cienega Blvd Ste 203
Beverly Hills, CA 90211-2246

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL none

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1750034542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112246",
            "telephone_number": "424-527-0344",
            "fax_number": "424-527-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "CHANDAK",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-364-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "50 N La Cienega Blvd Ste 203",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902112246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 1, 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.

Verify at the official NPI Registry.