1. Home
  2. Directory
  3. California
  4. Beverly Hills
  5. Clinic Center
  6. NPI Profile

MODERN INSTITUE OF SURGERY, INC
NPI 1568899177
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since September 27, 2013CLIA 05D2078274 · Waiver
9090 BURTON WAY, BEVERLY HILLS, CA 90211(310) 278-0077 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Modern Institue Of Surgery, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN INSTITUE OF SURGERY, INC (NPI 1568899177) is a healthcare organization registered as an ambulatory surgical in Beverly Hills, California and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Ivailo Dimov, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568899177
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMODERN INSTITUE OF SURGERY, INC
Location Address9090 BURTON WAYBeverly Hills, CA 90211-1661
Mailing Address9090 Burton WayBeverly Hills, CA 90211-1661 · (310) 278-0077
Phone(310) 278-0077
Organization SubpartNo
Authorized OfficialIvailo DimovMedical Director · (310) 278-0077
Enumeration DateSeptember 27, 2013
Last NPPES UpdateDecember 6, 2013
✔ NPI 1568899177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · C3580319
9090 BURTON WAY, Beverly Hills, CA 90211
Open in Google Maps ↗

Other Identifiers 1

Other0000000000CA · Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2078274

Modern Institute Of Surgery Inc · Los Angeles, CA
Active · expires May 22, 2028
CLIA Number05D2078274
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorRyan A. Stanton
Laboratory Phone(310) 278-0077
Laboratory LocationModern Institute Of Surgery Inc11600 W Pico Blvd, Los Angeles, CA 90064
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING
Clinic/Center (Ambulatory Surgical)
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 278-0077
DR. WILLIAM CRAWFORD HARRIS M.D.
Otolaryngology (Facial Plastic Surgery)
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 880-2117
DOHENY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 205-0111
PACIFIC AESTHETIC INSTITUTE, INC
Plastic Surgery
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 855-3960
MODERN INSTITUTE OF PLASTIC SURGERY & ANTIAGING, INC.
Clinic/Center (Sleep Disorder Diagnostic)
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 230-5741
MAHESH S DESILVA MD A MEDICAL CORPORATION
Anesthesiology
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 278-0077
BEVERLY HILLS BREAST CENTER INC
Plastic Surgery
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 855-3960
MODERN SURGERY CENTERS LLC
Clinic/Center (Ambulatory Surgical)
9090 BURTON WAY
BEVERLY HILLS, CA 90211
Los Angeles County (310) 230-5741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Institue Of Surgery, Inc's NPI number?

The NPI number for Modern Institue Of Surgery, Inc is 1568899177. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Modern Institue Of Surgery, Inc located?

Modern Institue Of Surgery, Inc is located at 9090 Burton Way, Beverly Hills, CA 90211. The listed phone number is (310) 278-0077.

What is Modern Institue Of Surgery, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Modern Institue Of Surgery, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2078274) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Institue Of Surgery, Inc was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.