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BEVERLY HILLS REJUVENATION CENTER NPI 1710497268


NPI Information

NPI: 1710497268
Provider Name: BEVERLY HILLS REJUVENATION CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1860 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90025
Phone: (310) 473-5800
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BEVERLY HILLS REJUVENATION CENTER is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEVERLY HILLS REJUVENATION CENTER NPI is 1710497268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1860 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90025-314
Phone: (310) 473-5800
Fax: (310) 473-5801

The provider's authorized official is Enrico J Dirienzo .
The authorized official title is Medical Director and has the following contact phone number (310) 473-5800.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.


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
1207Q00000XFamily MedicineG134479CALIFORNIAYes

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: 11/14/2023

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