Healthcare Provider Details

I. General information

NPI: 1861246837
Provider Name (Legal Business Name): SHERWIN A BARVARZ M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S RODEO DR STE 255
BEVERLY HILLS CA
90212-2445
US

IV. Provider business mailing address

1168 S BARRINGTON AVE APT 605
LOS ANGELES CA
90049-6466
US

V. Phone/Fax

Practice location:
  • Phone: 310-620-6030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERWIN AURASH BARVARZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 818-578-5125