Active NPI
Golden Triangle Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1831748482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2174075 | Golden Triangle Surgery Center LLC | Certificate of waiver | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.