Roxbury Beverly Hills Surgical Medical Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A54193 Issued in CA

Legal business name

ROXBURY BEVERLY HILLS SURGICAL MEDICAL CENTER, INC

Practice address

435 N Roxbury Dr
Suite 405
Beverly Hills, CA 90210-5027

Phone

(310) 275-2472

Fax

(310) 247-9732

NPI assigned

Apr 3, 2010

Last updated

Apr 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Sorokurs, M.D.

Title

Medical Director

Phone

(310) 275-2472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1922323849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "SUITE 405",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2472",
            "fax_number": "310-247-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "SUITE 405",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2472",
            "fax_number": "310-247-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY BEVERLY HILLS SURGICAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "SOROKURS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-275-2472",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A54193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millicent Overley Rovelo, M.D.
• Mikhail Yakov Rovensky
• Rox Beverly Hills Surgery Center LLC
• Rox Physician Medical Group PC
• Roxbury Anesthesia Group, Inc.
• Roxbury Clinic and Surgery Center Inc
• Roxbury Dermatology and Multispecialty Practice Inc
• Roxbury Dr Outpatient Surg Ctr
• Roxbury Healthcare Group Inc
• Roxbury Institute Surgical Center

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, 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 Apr 3, 2010; 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.