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ELITE INTEGRATIVE MEDICAL NPI 1760006712


NPI Information

NPI: 1760006712
Provider Name: ELITE INTEGRATIVE MEDICAL
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
153 S DOHENY DR
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 888-8896
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ELITE INTEGRATIVE MEDICAL is a general practice in Beverly Hills, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ELITE INTEGRATIVE MEDICAL NPI is 1760006712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

153 S DOHENY DR
BEVERLY HILLS, CA
ZIP 90211-509
Phone: (310) 888-8896

The provider's authorized official is Evan Bruce Berk .
The authorized official title is President and has the following contact phone number (310) 888-8896.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 9/29/2021.


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
1208100000XPhysical Medicine & RehabilitationNo
2208D00000XGeneral PracticeYes

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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