Healthcare Provider Details
I. General information
NPI: 1164179024
Provider Name (Legal Business Name): PHYSICIANS NOW PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9350 WILSHIRE BLVD STE 203
BEVERLY HILLS CA
90212-3204
US
IV. Provider business mailing address
9350 WILSHIRE BLVD STE 203
BEVERLY HILLS CA
90212-3204
US
V. Phone/Fax
- Phone: 310-254-9701
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QB0002X |
| Taxonomy | Obesity Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS1201X |
| Taxonomy | Sleep Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
PALUMBO
Title or Position: VP
Credential:
Phone: 813-863-1508