Provider Demographics
NPI:1518570290
Name:BEVERLY HILLS HEALTH INC
Entity Type:Organization
Organization Name:BEVERLY HILLS HEALTH INC
Other - Org Name:BEVERLY HILLS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:D.O./PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KATIRAIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-274-9500
Mailing Address - Street 1:9200 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1319
Mailing Address - Country:US
Mailing Address - Phone:310-274-9500
Mailing Address - Fax:310-274-7018
Practice Address - Street 1:9200 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1319
Practice Address - Country:US
Practice Address - Phone:310-274-9500
Practice Address - Fax:310-274-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A16783OtherLIC