BEVERLY CENTURY SURGICAL CENTER
NPI 1255913661
Clinic/Center - Ambulatory Surgical in Los Angeles, CA
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2214185
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 02-18-2027
About BEVERLY CENTURY SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Beverly Century Surgical Center, a provider established in Los Angeles, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255913661 assigned on April 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Babak Moeinolmolki Md (President)
- NPI
- 1255913661 Verify this NPI
- Provider Name
- BEVERLY CENTURY SURGICAL CENTER
- Entity Type
- Organization
- Location Address
- 2080 CENTURY PARK E STE 509 LOS ANGELES, CA 90067
- Location Phone
- (310) 694-4486
- Location Fax
- (310) 363-7617
- Mailing Address
- 2080 CENTURY PARK E STE 501 LOS ANGELES, CA 90067
- Mailing Phone
- (310) 694-4486
- Mailing Fax
- (310) 363-7617
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2021
- Last Update Date
- 04-25-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2214185
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 19, 2025
- Certificate Expiration Date
- February 18, 2027
- Laboratory Director
- BABAK MOEINOLMOLKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beverly Century Surgical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255913661, enumerated as an "organization" on April 25, 2021.
The provider is located at 2080 CENTURY PARK E STE 509 LOS ANGELES, CA 90067 and the phone number is (310) 694-4486.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
