Provider Demographics
NPI:1477963403
Name:BEVERLY HILLS INSTITUTE OF GASTROENTEROLOGY
Entity Type:Organization
Organization Name:BEVERLY HILLS INSTITUTE OF GASTROENTEROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-953-3269
Mailing Address - Street 1:6310 SAN VICENTE BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5426
Mailing Address - Country:US
Mailing Address - Phone:310-953-3269
Mailing Address - Fax:310-933-0258
Practice Address - Street 1:6310 SAN VICENTE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5426
Practice Address - Country:US
Practice Address - Phone:310-953-3269
Practice Address - Fax:310-933-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty