Provider Demographics
NPI:1699416438
Name:BEVERLY HILLS INSTITUTE FOR PAIN MANAGEMENT
Entity Type:Organization
Organization Name:BEVERLY HILLS INSTITUTE FOR PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:SARO
Authorized Official - Middle Name:
Authorized Official - Last Name:DORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:424-266-7878
Mailing Address - Street 1:640 S SAN VICENTE BLVD STE 481
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4666
Mailing Address - Country:US
Mailing Address - Phone:424-266-7878
Mailing Address - Fax:424-266-7879
Practice Address - Street 1:640 S SAN VICENTE BLVD STE 481
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4666
Practice Address - Country:US
Practice Address - Phone:424-266-7878
Practice Address - Fax:424-266-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty