Profiles Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

27789270 Issued in CA

Legal business name

PROFILES SURGERY CENTER, INC

Practice address

9201 W Sunset Blvd # M130
West Hollywood, CA 90069-3701

Phone

(310) 276-6800

Fax

(310) 276-6801

NPI assigned

Sep 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peyman Soliemanzadeh, M.D.

Title

President

Phone

(310) 276-6800

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191110400000",
    "number": "1821285248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD # M130",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-276-6800",
            "fax_number": "310-276-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD # M130",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-276-6800",
            "fax_number": "310-276-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFILES SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A",
        "authorized_official_last_name": "SOLIEMANZADEH",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-276-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "27789270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Press, DPT
• Primary Assessment Medical Services, P.C.
• Procare Pharmacy LLC
• Professional Visioncare of West Hollywood, Inc a Professional Optom
• Profiles Inc
• Provide Home Health, Inc
• Psychlyst, LLC
• Jakuta M Ptah
• Leandro Pucci, DCN, CNS, LDN
• Gino C Pucino, D.C.

• Ambulatory Surgical Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, 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 Sep 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.