BEVERLY HILLS WELLNESS PHYSICIANS CORP NPI 1053705228

NPI Information

NPI: 1053705228
Provider Name: BEVERLY HILLS WELLNESS PHYSICIANS CORP

Doing Business As: BEVERLY HILLS WELLNESS PHYSICIAN CORP

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
701 E 28TH ST STE 100
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-2551
Get Directions

BEVERLY HILLS WELLNESS PHYSICIANS CORP is an allergy allergy immunology in Long Beach, CA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee BEVERLY HILLS WELLNESS PHYSICIANS CORP NPI is 1053705228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beverly Hills Wellness Physician Corp.

The provider's business location address is:

701 E 28TH ST STE 100
LONG BEACH, CA
ZIP 90806-769
Phone: (562) 426-2551
Fax: (818) 337-2049

The provider's authorized official is Edward Brent Laugeson .
The authorized official title is Manager and has the following contact phone number (818) 518-5980.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 1/15/2020.

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	106H00000X	Marriage & Family Therapist		LMFT77740	CALIFORNIA	No
2	207KA0200X	Allergy & Immunology	Allergy	G44674	CALIFORNIA	Yes
3	207QB0002X	Family Medicine	Obesity Medicine	G56249	CALIFORNIA	No
4	207RN0300X	Internal Medicine	Nephrology	A063319	CALIFORNIA	No
5	207W00000X	Ophthalmology		G56249	CALIFORNIA	No
6	207YX0602X	Otolaryngology	Otolaryngic Allergy	G44674	CALIFORNIA	No
7	2082S0105X	Plastic Surgery	Surgery of the Hand	G28478	CALIFORNIA	No
8	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	G44674	CALIFORNIA	No
9	208D00000X	General Practice		G44674	CALIFORNIA	No
10	363A00000X	Physician Assistant		PA11755	CALIFORNIA	No

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

NPI Synchronization or Removal

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