Organization Active NPI

Innova Surgical Institute of Beverly Hills

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1881144251
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INNOVA SURGICAL INSTITUTE OF BEVERLY HILLS
Practice address
435 N Roxbury Dr Ste 405
Beverly Hills, CA 90210-5006
Phone
(310) 275-4155
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Dr. Kathy Gohar, MDNPI 1326230954
Title
Medical Director
Phone
(310) 275-4155

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 1

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

Addresses

Primary practice location

435 N Roxbury Dr Ste 405
Beverly Hills, CA 90210-5006

Mailing address

435 N Roxbury Dr Ste 405
Beverly Hills, CA 90210-5006
Phone (310) 275-4155

National Provider Directory

National Provider Directory

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": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1881144251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 405",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "310-275-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 405",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "310-275-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA SURGICAL INSTITUTE OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "GOHAR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-275-4155",
        "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": []
}

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 Oct 10, 2016; 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.