Organization
BEVERLY HILLS EXECUTIVE MEDICAL GROUP, INC.
Active
Other names
BHCMG Executive ER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JACOBSEN DC (PRESIDENT)
(310) 657-0366
Entity
Organization
Contact information
Practice address
8530 WILSHIRE BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3122
(310) 657-0366
(310) 657-0466
Mailing address
8530 WILSHIRE BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3122
(310) 657-0366
(310) 657-0466
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A85541
CA
261QM1300X
Multi-Specialty Clinic/Center
DC15646
CA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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