# BEVERLY HILLS MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1740213222
- **Authorized official:** DR. ALI HADADZ MD (PRESIDENT)
- **Authorized official phone:** (310) 274-5510

## Contact information

- **Practice address:** 9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-6804
- **Practice address phone:** (310) 204-5510
- **Practice address fax:** (310) 204-5518
- **Mailing address:** 9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-6804
- **Mailing address phone:** (310) 204-5510
- **Mailing address fax:** (310) 204-5518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A698160 | — | CA |
| 01 | — | 010066259 | MEDICARE RAILROAD | CA |
| 01 | — | ZZZ05665Z | BLUE SHIELD CA | CA |