=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689529034
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEYOND HARMONY, INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25269 THE OLD RD STE L
-----------------------------------------------------
City | STEVENSON RANCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91381-2257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-542-7001
-----------------------------------------------------
Fax | 661-388-4000
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25269 THE OLD RD STE L
-----------------------------------------------------
City | STEVENSON RANCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91381-2257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-542-7001
-----------------------------------------------------
Fax | 661-388-4000
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | MR. BHARAT KOTHAKOTA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 661-542-7001
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------