05D1104161 CLIA NUMBER - MRH MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D1104161

Facility Name: MRH MEDICAL GROUP INC

Facility Address:
8484 WILSHIRE BLVD #200
BEVERLY HILLS, CA
ZIP 90211
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Facility Phone Number: 310 360-7690

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063617074

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	05D1104161
LAB Type	Physician Office
Facility Name	MRH MEDICAL GROUP INC
Street	8484 WILSHIRE BLVD #200
City	BEVERLY HILLS
State	CA
ZIP	90211
Phone	310 360-7690
CertificateType	4
CertificateEffectiveDate	8/26/2023
CertificateExpirationDate	8/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024