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General NPI Number Information
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NPI Number | 1518817634
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Entity Type | Organization
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Legal Business Name | BEVERLY WILSHIRE MEDICAL IMAGING
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 8530 WILSHIRE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3130
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Country | US
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Telephone | 510-714-5209
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Fax | 510-792-7226
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Provider Business Mailing Address
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Address Line | 1591 CLEAR VIEW DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-2008
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Country | US
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Telephone | 510-714-5209
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Fax | 510-792-7226
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Authorized Official
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Title or Position | CONTRACTING ADMINISTRATOR
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Name | CHEKAMEH KAZEROUNINIA
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Credential |
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Telephone | 510-714-5209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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