# BEVERLY HILLS HORMONE INSTITUTE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BodyLogicDO of Beverly Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003269945
- **Authorized official:** DR. LISA GORN DO (PRESIDENT)
- **Authorized official phone:** (512) 571-2223

## Contact information

- **Practice address:** 9744 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90212-1828
- **Practice address phone:** (877) 857-0146
- **Practice address fax:** (877) 510-4839
- **Mailing address:** 3701 EXECUTIVE CENTER DR, SUITE 211, AUSTIN, TX 78731-1644
- **Mailing address phone:** (512) 571-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 20A14618 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2016
- **Last updated:** 07/15/2016
