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General NPI Number Information
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NPI Number | 1508371600
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Entity Type | Organization
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Legal Business Name | BH VEIN INSTITUTE INC.
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 9400 BRIGHTON WAY STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4709
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Country | US
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Telephone | 310-853-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 9663 SANTA MONICA BLVD PMB 749
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IVAN BROOKS
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Credential | MD
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Telephone | 310-853-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | A065321
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License Number State | CA
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