Provider Demographics
NPI:1639823701
Name:BEVERLY HEALTH CARE INC
Entity Type:Organization
Organization Name:BEVERLY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSARRAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-426-9070
Mailing Address - Street 1:3755 BEVERLY BLVD # 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3539
Mailing Address - Country:US
Mailing Address - Phone:323-426-9070
Mailing Address - Fax:323-426-9381
Practice Address - Street 1:3755 BEVERLY BLVD # 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3539
Practice Address - Country:US
Practice Address - Phone:323-426-9070
Practice Address - Fax:323-426-9381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty