Provider Demographics
NPI:1477976033
Name:BEVERLY HILLS ALTERNATIVE MEDICINE SPECIALISTS
Entity Type:Organization
Organization Name:BEVERLY HILLS ALTERNATIVE MEDICINE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:ANNSWORTH
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD (AM)
Authorized Official - Phone:760-895-8997
Mailing Address - Street 1:9595 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2512
Mailing Address - Country:US
Mailing Address - Phone:760-895-8997
Mailing Address - Fax:
Practice Address - Street 1:9595 WILSHIRE BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2512
Practice Address - Country:US
Practice Address - Phone:760-895-8997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1992127211OtherNPI 1992127211