BEVERLY OB & GYN MEDICAL CENTER INC. (NPI# 1306320619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306320619 |
| Entity Type | Organization |
| Organization Name | BEVERLY OB & GYN MEDICAL CENTER INC. |
| Practice Address |
4620 Beverly Blvd Ste 101 Los Angeles CA 90004-3102 |
| Practice Telephone | 3234626423 |
| Mailing Telephone | 3234626423 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | EDWARD S. AHN (PHYSICIAN) |
| Authorized Official Telephone | 3234626423 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
4620 BEVERLY BLVD STE 101 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881090710 | Arthur Lawrence Ulene | Obstetrics & Gynecology | 6511 Moore Dr, Los Angeles, CA 90048-5325 | 2014-11-04 |
| 1275965105 | Rommel Gonzales Medical Group Inc | Obstetrics & Gynecology | 508 S Alvarado St, Los Angeles, CA 90057-2904 | 2013-08-02 |
| 1942645221 | Lesley Zlotta Blumberg | Obstetrics & Gynecology | 9370 Flicker Way, Los Angeles, CA 90069-1728 | 2013-05-01 |
| 1629343215 | Alfred Forrest | Obstetrics & Gynecology | 213 W 109th St, Los Angeles, CA 90061-2007 | 2012-03-14 |
| 1013282060 | Daulat Shaukat Chandani | Obstetrics & Gynecology | 1530 S Centinela Ave, #101, Los Angeles, CA 90025-3996 | 2012-03-08 |
| 1598914681 | Lidia M Rubinstein | Obstetrics & Gynecology | 601 Lorna Ln, Los Angeles, CA 90049-4216 | 2008-09-12 |
| 1528279387 | Regina Louise Edmond | Obstetrics & Gynecology | 1950 Sawtelle Blvd Ste 145, Los Angeles, CA 90025-7074 | 2007-05-24 |
| 1659591832 | Mahfouz M. Michael,m.d.,inc. | Obstetrics & Gynecology | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2007-04-27 |
| 1689891798 | George Raymond Tyndall | Obstetrics & Gynecology | 3010 Wilshire Blvd, 93, Los Angeles, CA 90010-1103 | 2007-04-19 |
| 1518092808 | Leslie L Coley | Obstetrics & Gynecology | Dept 2555, Los Angeles, CA 91767-0001 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on BEVERLY OB & GYN MEDICAL CENTER INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.