Healthcare Provider Details

I. General information

NPI: 1083565816
Provider Name (Legal Business Name): HEARTLAB MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 WILSHIRE BLVD STE 515
BEVERLY HILLS CA
90212-2947
US

IV. Provider business mailing address

9401 WILSHIRE BLVD STE 515
BEVERLY HILLS CA
90212-2947
US

V. Phone/Fax

Practice location:
  • Phone: 888-760-2388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW CHRISTIAN LUXHOJ
Title or Position: CEO
Credential: DO
Phone: 804-615-2558