| Organization Name: | ROXBURY CLINIC AND SURGERY CENTER INC |
| NPI Number: | 1003001967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHONA MOORE (DIRECTOR OF NURSING) |
| Mailing Address: | 465 N Roxbury Dr Suite 1001 Beverly Hills |
| State: | CA US |
| Postal Code: | 902104206 |
| Phone Number: | 3102486250 |
| Fax Number: | 3102486258 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 06/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |