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NPI Code Detail

MEDICARE: BEVERLY HILLS NUTRITION AND INTERNAL MEDICINE

MEDICARE: BEVERLY HILLS NUTRITION AND INTERNAL MEDICINE
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
1261QH0100XHealth Service Clinic/CenterG55448CA

General Provider Information

NPI Number : 1336498948
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY HILLS NUTRITION AND INTERNAL MEDICINE
Provider Business Mailing Address
First Line : 838 N DOHENY DR
Second Line : PENTHOUSE A
City : WEST HOLLYWOOD
State : CA
Zip : 90069-4853
Country : US
Telephone Number : 310-385-9171
Fax Number :
Provider Business Practice Location Address
First Line : 6320 COMMODORE SLOAT DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5453
Country : US
Telephone Number : 323-935-3420
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ANDREW SILVER
Credential :
Telephone Number : 310-385-9171
Provider Enumeration Date : 08/29/2012
Last Update Date : 08/29/2012

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Directions to “BEVERLY HILLS NUTRITION AND INTERNAL MEDICINE ” 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.