05D2157366 CLIA NUMBER - BEVERLY HILLS DIGESTIVE CARE

Laboratory Demographics

CLIA Number: 05D2157366

Facility Name: BEVERLY HILLS DIGESTIVE CARE

Facility Address:
240 S LA CIENEGA BLVD STE 102
BEVERLY HILLS, CA
ZIP 90211
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Facility Phone Number: 626 409-4799

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1790715241

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2157366
LAB Type Physician Office
Facility Name BEVERLY HILLS DIGESTIVE CARE
Street 240 S LA CIENEGA BLVD STE 102
City BEVERLY HILLS
State CA
ZIP 90211
Phone 626 409-4799
CertificateType 2
CertificateEffectiveDate 10/14/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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