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ANDRE ABOOLIAN M.D. A PROFESSIONAL MEDICAL CORPORATION NPI 1578770426


NPI Information

NPI: 1578770426
Provider Name: ANDRE ABOOLIAN, M.D., A PROFESSIONAL MEDICAL CORPORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
120 SOUTH SPALDING DRIVE
#200
BEVERLY HILLS, CA
ZIP 90212
Phone: (310) 888-8862
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ANDRE ABOOLIAN, M.D., A PROFESSIONAL MEDICAL CORPORATION is a medical specialty clinic center in Beverly Hills, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ANDRE ABOOLIAN, M.D., A PROFESSIONAL MEDICAL CORPORATION NPI is 1578770426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 SOUTH SPALDING DRIVE
#200
BEVERLY HILLS, CA
ZIP 90212
Phone: (310) 888-8862
Fax: (310) 888-8711

The provider's authorized official is Andre Aboolian .
The authorized official title is Owner and has the following contact phone number (310) 888-8862.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 9/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryA81347CALIFORNIANo
2261QM2500XClinic/CenterMedical SpecialtyA81347CALIFORNIAYes

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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