DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BEVERLY HILLS WELLNESS AND VITALITY INC

MEDICARE: BEVERLY HILLS WELLNESS AND VITALITY INC
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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number : 1205676012
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY HILLS WELLNESS AND VITALITY INC
Provider Business Mailing Address
First Line : 9663 SANTA MONICA BLVD # 1151
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4303
Country : US
Telephone Number : 310-275-4084
Fax Number : 818-643-4255
Provider Business Practice Location Address
First Line : 250 N ROBERTSON BLVD STE 106
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1767
Country : US
Telephone Number : 310-275-4084
Fax Number : 818-643-4255
Authorized Official
Title or Position : MANAGER
Name : NICOLE GARRETT
Credential :
Telephone Number : 310-275-4084
Provider Enumeration Date : 05/29/2024
Last Update Date : 03/27/2026

Similar Medicare Providers

1952575342 — SOM KOHANZADEH MD
Practice Location Address:
250 N ROBERTSON BLVD STE 106
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-919-4179
Practice Fax: 818-643-4255
1871749952 — COMPREHENSIVE OUTPATIENT SURGERY CTR LP
Practice Location Address:
250 N ROBERTSON BLVD STE 104
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-919-4179
Practice Fax: 818-643-4255
1083938096 — DR. LISA H DANG M.D.
Practice Location Address:
250 N ROBERTSON BLVD STE 102
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-385-3540
Practice Fax: 310-385-3521
1013213347 — TECHNICAL SURGERY SUPPORT
Practice Location Address:
250 N ROBERTSON BLVD STE 429
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-275-5245
Practice Fax:
1699155911 — PREMA SRINIVASA HAMPAPUR
Practice Location Address:
250 N ROBERTSON BLVD STE 106A
BEVERLY HILLS, CA
90211-1767
Practice Phone: 818-922-2244
Practice Fax:
1912373952 — DAVID A. POUGATSCH, DPM, INC.
Practice Location Address:
250 N ROBERTSON BLVD STE 106
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-919-4179
Practice Fax: 877-239-0994
1053862029 — MARINA RUSSMAN M.D., APC
Practice Location Address:
250 N ROBERTSON BLVD STE 106
BEVERLY HILLS, CA
90211-1767
Practice Phone: 310-273-2707
Practice Fax: 310-273-2737

Directions to “BEVERLY HILLS WELLNESS AND VITALITY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.