Provider Demographics
NPI:1689030777
Name:ELITE MEDICAL EVALUATION CENTERS, INC.
Entity Type:Organization
Organization Name:ELITE MEDICAL EVALUATION CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BABAK
Authorized Official - Last Name:HASHEMIYOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-988-0177
Mailing Address - Street 1:8500 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 630
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3121
Mailing Address - Country:US
Mailing Address - Phone:310-271-5875
Mailing Address - Fax:818-508-0224
Practice Address - Street 1:3625 WRIGHTWOOD DR
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3947
Practice Address - Country:US
Practice Address - Phone:310-271-5875
Practice Address - Fax:818-508-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86202207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty