Provider Demographics
NPI:1821202755
Name:BEVERLY HILLS COMPREHENSIVE CANCER CENTER, LLC
Entity Type:Organization
Organization Name:BEVERLY HILLS COMPREHENSIVE CANCER CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:GABAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-740-7500
Mailing Address - Street 1:8900 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1958
Mailing Address - Country:US
Mailing Address - Phone:310-740-7500
Mailing Address - Fax:310-740-7600
Practice Address - Street 1:8900 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1958
Practice Address - Country:US
Practice Address - Phone:310-740-7500
Practice Address - Fax:310-740-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology