Provider Demographics
NPI:1316829930
Name:BEVERLY HILLS SURGICAL CORP.
Entity type:Organization
Organization Name:BEVERLY HILLS SURGICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:IVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-299-9809
Mailing Address - Street 1:453 S SPRING ST STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2074
Mailing Address - Country:US
Mailing Address - Phone:310-299-9809
Mailing Address - Fax:310-299-9835
Practice Address - Street 1:433 N CAMDEN DR STE 1190
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4424
Practice Address - Country:US
Practice Address - Phone:310-299-9809
Practice Address - Fax:310-299-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical