Provider Demographics
NPI:1518209998
Name:BENY CHARCHIAN M.D., M.S., INC.
Entity Type:Organization
Organization Name:BENY CHARCHIAN M.D., M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENY
Authorized Official - Middle Name:BEHNAM
Authorized Official - Last Name:CHARCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:310-709-4466
Mailing Address - Street 1:9730 WILSHIRE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2003
Mailing Address - Country:US
Mailing Address - Phone:310-274-1500
Mailing Address - Fax:310-274-1504
Practice Address - Street 1:9730 WILSHIRE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2003
Practice Address - Country:US
Practice Address - Phone:310-709-4466
Practice Address - Fax:310-274-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-23
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2081P2900X
CAA1033492081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty