Healthcare Provider Details

I. General information

NPI: 1891317236
Provider Name (Legal Business Name): BEVERLY HILLS CARDIOLOGY HOSPITAL SERVICES APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 05/08/2020
Certification Date: 05/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

PO BOX 10658
BEVERLY HILLS CA
90213-3658
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3277
  • Fax:
Mailing address:
  • Phone: 310-858-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERVIN ESHAGHIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 310-858-6500