BEVERLY HILLS EXECUTIVE MEDICAL GROUP INC. NPI 1053642009

NPI Information

NPI: 1053642009
Provider Name: BEVERLY HILLS EXECUTIVE MEDICAL GROUP, INC.

Doing Business As: BHCMG EXECUTIVE ER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8530 WILSHIRE BLVD
SUITE 250
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 657-0366
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BEVERLY HILLS EXECUTIVE MEDICAL GROUP, INC. is a multi-specialty clinic center in Beverly Hills, CA. BEVERLY HILLS EXECUTIVE MEDICAL GROUP, INC. NPI is 1053642009. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhcmg Executive Er.

The provider's business location address is:

8530 WILSHIRE BLVD
SUITE 250
BEVERLY HILLS, CA
ZIP 90211-122
Phone: (310) 657-0366
Fax: (310) 657-0466

The provider's authorized official is Daniel Jacobsen .
The authorized official title is President and has the following contact phone number (310) 657-0366.

The enumeration date for this NPI number is 1/14/2010 and was last updated on 1/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	DC15646	CALIFORNIA	No
2	261QM1300X	Clinic/Center	Multi-Specialty	A85541	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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