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NPI 1043168933

NPI 1043168933 : BE WELL MEDICAL GROUP A MEDICAL CORPORATION : BEVERLY HILLS, CA

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General NPI Number Information
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    NPI Number           |    1043168933
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    Entity Type          |    Organization 
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    Legal Business Name  |    BE WELL MEDICAL GROUP A MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    03/18/2026
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    Last Update Date     |    03/18/2026
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Provider Practice Location Address
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    Address Line         |    8671 WILSHIRE BLVD STE 701 
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2913
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    Country              |    US
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    Telephone            |    310-810-3666
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    Fax                  |    310-810-1885
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Provider Business Mailing Address
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    Address Line         |    8671 WILSHIRE BLVD STE 701 
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2913
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    Country              |    US
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    Telephone            |    310-810-3666
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    Fax                  |    310-810-1885
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Authorized Official
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    Title or Position    |    CHIEF OPERATING OFFICER
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    Name                 |    MR. ISAAC  BERLIN 
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    Credential           |    MSN, FNP-C
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    Telephone            |    310-810-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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