MEDICARE: BEVERLY WESTERN MEDICAL GROUP 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1700681384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVERLY WESTERN MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	4620 BEVERLY BLVD # 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3102
Country	:	US
Telephone Number	:	323-848-4122
Fax Number	:	323-848-4168

Provider Business Practice Location Address
First Line	:	4620 BEVERLY BLVD # 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3102
Country	:	US
Telephone Number	:	323-848-4122
Fax Number	:	323-848-4168

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ZAIN UD-DIN KADRI
Credential	:	MD
Telephone Number	:	323-848-4122

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

Similar Medicare Providers

1871532309 — GYOUNG J PARK M.D.
Practice Location Address:

4620 BEVERLY BLVD 2ND FL
LOS ANGELES, CA
90004-3102

Practice Phone: 323-460-2121
Practice Fax: 213-748-7003

1225097025 — BEVERLY HEALTH & BIRTHING CENTER
Practice Location Address:

4620 BEVERLY BLVD
LOS ANGELES, CA
90004-3102

Practice Phone: 323-462-6423
Practice Fax: 323-462-3904

1982663795 — EDWARD AHN M.D.
Practice Location Address:

4620 BEVERLY BLVD
LOS ANGELES, CA
90004-3102

Practice Phone: 323-462-6423
Practice Fax: 323-462-3904

1306320619 — BEVERLY OB & GYN MEDICAL CENTER INC.
Practice Location Address:

4620 BEVERLY BLVD STE 101
LOS ANGELES, CA
90004-3102

Practice Phone: 323-462-6423
Practice Fax:

1992533731 — BEVERLY HEALTHCARE MEDICAL GROUP INC
Practice Location Address:

4620 BEVERLY BLVD # 100
LOS ANGELES, CA
90004-3102

Practice Phone: 323-318-2423
Practice Fax: 323-318-2427

1467471334 — JANE PEREDO SCM
Practice Location Address:

300 MEDICAL PLZ , STE. 3102
LOS ANGELES, CA
90095-0001

Practice Phone: 310-825-0300
Practice Fax: 310-794-1290

Directions to “BEVERLY WESTERN MEDICAL GROUP 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.