Provider Demographics
NPI:1710273636
Name:ENTERTAINMENT MEDICAL GROUP INC
Entity Type:Organization
Organization Name:ENTERTAINMENT MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KARNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-954-8084
Mailing Address - Street 1:8920 WILSHIRE BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2011
Mailing Address - Country:US
Mailing Address - Phone:323-954-8084
Mailing Address - Fax:323-587-9429
Practice Address - Street 1:8920 WILSHIRE BLVD STE 330
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2011
Practice Address - Country:US
Practice Address - Phone:323-954-8084
Practice Address - Fax:323-587-9429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG74846AMedicare PIN