Healthcare Provider Details

I. General information

NPI: 1548195589
Provider Name (Legal Business Name): BEVERLY HILLS ULTRASOUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9171 WILSHIRE BLVD STE 500
BEVERLY HILLS CA
90210-5536
US

IV. Provider business mailing address

9171 WILSHIRE BLVD STE 500
BEVERLY HILLS CA
90210-5536
US

V. Phone/Fax

Practice location:
  • Phone: 310-698-2382
  • Fax:
Mailing address:
  • Phone: 310-698-2382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SHEMIE
Title or Position: CEO
Credential:
Phone: 310-698-2382