Healthcare Provider Details

I. General information

NPI: 1477976033
Provider Name (Legal Business Name): BEVERLY HILLS ALTERNATIVE MEDICINE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9595 WILSHIRE BLVD SUITE 900
BEVERLY HILLS CA
90212-2512
US

IV. Provider business mailing address

9595 WILSHIRE BLVD SUITE 900
BEVERLY HILLS CA
90212-2512
US

V. Phone/Fax

Practice location:
  • Phone: 760-895-8997
  • Fax:
Mailing address:
  • Phone: 760-895-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. HARLAN ANNSWORTH POWERS
Title or Position: DIRECTOR
Credential: M.D. (AM)
Phone: 760-895-8997