GOLDEN TRIANGLE SURGERY CENTER LLC
NPI 1831748482
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since September 06, 2019CLIA 05D2174075 · Waiver
436 N ROXBURY DR STE 207, BEVERLY HILLS, CA 90210(310) 529-9237(626) 331-3204 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Golden Triangle Surgery Center Llc NPPES

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

GOLDEN TRIANGLE SURGERY CENTER LLC (NPI 1831748482) is a healthcare organization registered as an ambulatory surgical in Beverly Hills, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists A.j. Khalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1831748482
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGOLDEN TRIANGLE SURGERY CENTER LLC
Location Address436 N ROXBURY DR STE 207Beverly Hills, CA 90210-5017
Mailing Address436 N Roxbury Dr Ste 207Beverly Hills, CA 90210-5017 · (310) 529-9237 · Fax (626) 331-3204
Fax(626) 331-3204
Organization SubpartNo
Authorized OfficialA.j. KhalilOwner · (310) 529-9237
Enumeration DateSeptember 6, 2019
NPI 1831748482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
436 N ROXBURY DR STE 207, Beverly Hills, CA 90210

Other Names 1

Doing Business AsGolden Triangle Surgery Center Llc

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 05D2174075

Golden Triangle Surgery Center LLC · Beverly Hills, CA
Active · expires Oct 22, 2027
CLIA Number05D2174075
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorAbdullah Khalil
Laboratory Phone(310) 385-8601
Laboratory LocationGolden Triangle Surgery Center LLC436 North Roxbury Drive Suite 207, Beverly Hills, CA 90210
CLIA data matches this NPI record on: Address 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.

Plastic Surgery
436 N ROXBURY DR STE 207
BEVERLY HILLS, CA 90210
Plastic Surgery
436 N ROXBURY DR STE 207
BEVERLY HILLS, CA 90210
Plastic Surgery
436 N ROXBURY DR STE 207
BEVERLY HILLS, CA 90210

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 Golden Triangle Surgery Center LLC's NPI number?

The NPI number for Golden Triangle Surgery Center LLC is 1831748482. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Golden Triangle Surgery Center LLC located?

Golden Triangle Surgery Center LLC is located at 436 N Roxbury Dr Ste 207, Beverly Hills, CA 90210. The listed phone number is (310) 529-9237.

What is Golden Triangle Surgery Center LLC's specialty?

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

Does Golden Triangle Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2174075) is associated with this NPI, valid through October 22, 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 Golden Triangle Surgery Center LLC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.