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NPI 1538114293

NPI 1538114293 : ANIL MOHIN MD, INC. : BEVERLY HILLS, CA

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General NPI Number Information
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    NPI Number           |    1538114293
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANIL MOHIN MD, INC. 
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Dates
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    Enumeration Date     |    05/23/2006
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    Last Update Date     |    10/27/2009
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Provider Practice Location Address
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    Address Line         |    8641 WILSHIRE BLVD. SUITE # 100
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2919
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    Country              |    US
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    Telephone            |    310-659-9572
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    Fax                  |    310-659-4740
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Provider Business Mailing Address
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    Address Line         |    8641 WILSHIRE BLVD. SUITE # 100
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2919
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    Country              |    US
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    Telephone            |    310-659-9572
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    Fax                  |    310-659-4740
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. ANIL  MOHIN 
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    Credential           |    M.D.
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    Telephone            |    310-659-9572
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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       |    A40506
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    License Number State |    CA
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