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NPI Code Detail

MEDICARE: BE WELL MEDICAL GROUP A MEDICAL CORPORATION

MEDICARE: BE WELL MEDICAL GROUP A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2207QA0401XAddiction Medicine (Family Medicine) Physician
3207LC0200XCritical Care Medicine (Anesthesiology) Physician
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1043168933
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE WELL MEDICAL GROUP A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 8671 WILSHIRE BLVD STE 701
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2913
Country : US
Telephone Number : 310-810-3666
Fax Number : 310-810-1885
Provider Business Practice Location Address
First Line : 8671 WILSHIRE BLVD STE 701
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2913
Country : US
Telephone Number : 310-810-3666
Fax Number : 310-810-1885
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. ISAAC BERLIN
Credential : MSN, FNP-C
Telephone Number : 310-810-3666
Provider Enumeration Date : 03/18/2026
Last Update Date : 04/06/2026

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Practice Fax:

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