MEDICARE: BDO CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	3336C0004X	Compounding Pharmacy
5	3336C0003X	Community/Retail Pharmacy	PHY41877	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1994763	OTHER		PK

General Provider Information

NPI Number	:	1144220492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BDO CORPORATION

Provider Business Mailing Address
First Line	:	1111 N FAIRFAX AVE STE 110
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5363
Country	:	US
Telephone Number	:	323-656-9622
Fax Number	:	323-656-9718

Provider Business Practice Location Address
First Line	:	1111 N FAIRFAX AVE STE 110
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5363
Country	:	US
Telephone Number	:	323-656-9622
Fax Number	:	323-656-9718

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREGORY VAYBERMAN
Credential	:
Telephone Number	:	323-565-8622

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/27/2017

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1841330800 — TSILYA BASS M.D.
Practice Location Address:

1111 N FAIRFAX AVE STE 109
WEST HOLLYWOOD, CA
90046-5363

Practice Phone: 323-876-1500
Practice Fax: 323-876-1515

1669507273 — TSILYA BASS MD INC
Practice Location Address:

1111 N FAIRFAX AVE STE 109
WEST HOLLYWOOD, CA
90046-5363

Practice Phone: 323-876-1500
Practice Fax: 323-876-1515

1669830568 — GARFIELD BEACH CVS LLC
Practice Location Address:

6201 HOLLYWOOD BLVD , STE 126
LOS ANGELES, CA
90028-5363

Practice Phone: 323-467-7954
Practice Fax:

1518413004 — DAVID NG
Practice Location Address:

6201 HOLLYWOOD BLVD STE 126
LOS ANGELES, CA
90028-5363

Practice Phone: 323-467-7954
Practice Fax: 323-284-7575

1063947216 — TANYA TAEFI PHARM.D.
Practice Location Address:

6201 HOLLYWOOD BLVD STE 126
LOS ANGELES, CA
90028-5363

Practice Phone: 323-467-7954
Practice Fax: 323-284-7575

Directions to “BDO CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.