Organization
BEVERLY HILLS EXECUTIVE MEDICAL GROUP, INC.
Active
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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