EOS WELLNESS SURGERY CENTER LLC
NPI 1801384987
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since April 25, 2018CLIA 05D2127223 · Waiver
8641 WILSHIRE BLVD STE 305, BEVERLY HILLS, CA 90211(310) 730-1218(310) 861-1053 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eos Wellness Surgery Center Llc NPPES

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

EOS WELLNESS SURGERY CENTER LLC (NPI 1801384987) is a healthcare organization registered as an ambulatory surgical in Beverly Hills, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Luana Farrar, Accreditation Coordinator, as its authorized official.

NPPES Registry Identity

NPI1801384987
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEOS WELLNESS SURGERY CENTER LLC
Location Address8641 WILSHIRE BLVD STE 305Beverly Hills, CA 90211-2921
Mailing Address8641 Wilshire Blvd Ste 305Beverly Hills, CA 90211-2921 · (310) 730-1218 · Fax (310) 861-1053
Fax(310) 861-1053
Organization SubpartNo
Authorized OfficialLuana FarrarAccreditation Coordinator · (949) 337-3267
Enumeration DateApril 25, 2018
NPI 1801384987 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 · A112498
8641 WILSHIRE BLVD STE 305, Beverly Hills, CA 90211

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 05D2127223

Eos Wellness Surgery Center LLC · Beverly Hills, CA
Active · expires Mar 9, 2027
CLIA Number05D2127223
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorNima Shemirani, MD
Laboratory Phone(310) 772-2866
Laboratory LocationEos Wellness Surgery Center LLC450 N Roxbury #400, Beverly Hills, CA 90210
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Otolaryngology
8641 WILSHIRE BLVD STE 305
BEVERLY HILLS, CA 90211
Anesthesiology
8641 WILSHIRE BLVD STE 305
BEVERLY HILLS, CA 90211
Plastic Surgery (Plastic Surgery Within the Head and Neck)
8641 WILSHIRE BLVD STE 305
BEVERLY HILLS, CA 90211

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 Eos Wellness Surgery Center LLC's NPI number?

The NPI number for Eos Wellness Surgery Center LLC is 1801384987. It was assigned to this organization in the NPPES registry on April 25, 2018.

Where is Eos Wellness Surgery Center LLC located?

Eos Wellness Surgery Center LLC is located at 8641 Wilshire Blvd Ste 305, Beverly Hills, CA 90211. The listed phone number is (310) 730-1218.

What is Eos Wellness Surgery Center LLC's specialty?

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

Does Eos Wellness Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2127223) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eos Wellness Surgery Center LLC was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.