# BEVERLY HILLS WELLNESS AND VITALITY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205676012
- **Authorized official:** NICOLE GARRETT (MANAGER)
- **Authorized official phone:** (310) 275-4084

## Contact information

- **Practice address:** 250 N ROBERTSON BLVD STE 106, BEVERLY HILLS, CA 90211-1767
- **Practice address phone:** (310) 275-4084
- **Practice address fax:** (818) 643-4255
- **Mailing address:** 9663 SANTA MONICA BLVD \# 1151, BEVERLY HILLS, CA 90210-4303
- **Mailing address phone:** (310) 275-4084
- **Mailing address fax:** (818) 643-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 03/27/2026