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General NPI Number Information
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NPI Number | 1043147812
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Entity Type | Organization
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Legal Business Name | PREMIER CARDIOLOGY OF BEVERLY HILLS
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 8920 WILSHIRE BLVD STE 420
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2004
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Country | US
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Telephone | 310-652-5210
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Fax | 310-652-5211
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Provider Business Mailing Address
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Address Line | 8920 WILSHIRE BLVD STE 420
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2004
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Country | US
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Telephone | 310-652-5210
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Fax | 310-652-5211
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUSTIN A DANESHRAD
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Credential | MD
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Telephone | 310-880-7042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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