Organization Active NPI

Golden Triangle Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1831748482
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GOLDEN TRIANGLE SURGERY CENTER LLC
Practice address
436 N Roxbury Dr Ste 207
Beverly Hills, CA 90210-5017
Phone
(310) 529-9237
Fax
(626) 331-3204
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. A.J. Khalil, MD
Title
Owner
Phone
(310) 529-9237

Specialties & licenses 1

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

Addresses

Primary practice location

436 N Roxbury Dr Ste 207
Beverly Hills, CA 90210-5017

Mailing address

436 N Roxbury Dr Ste 207
Beverly Hills, CA 90210-5017
Phone (310) 529-9237

Other names 1

  • GOLDEN TRIANGLE SURGERY CENTER LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2174075Golden Triangle Surgery Center LLC436 North Roxbury Drive Suite 207, Beverly Hills, CA 90210Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1831748482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "310-529-9237",
            "fax_number": "626-331-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "310-529-9237",
            "fax_number": "626-331-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "A.J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-529-9237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN TRIANGLE SURGERY CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2019; 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.