Organization
BEVERLY HILLS WELLNESS PHYSICIANS CORP
Active
Other names
Beverly Hills Wellness Physician Corp
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BRENT LAUGESON (MANAGER)
(818) 518-5980
Entity
Organization
Contact information
Practice address
701 E 28TH ST STE 100, LONG BEACH, CA 90806-2769
(562) 426-2551
(818) 337-2049
Mailing address
7230 MEDICAL CENTER DRIVE, SUITE 302, WEST HILLS, CA 91307
(818) 548-5980
(818) 337-2049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT77740
CA
207KA0200X
Allergy Physician
Primary
G44674
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
G56249
CA
207RN0300X
Nephrology Physician
A063319
CA
207W00000X
Ophthalmology Physician
G56249
CA
207YX0602X
Otolaryngic Allergy Physician
G44674
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G28478
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G44674
CA
208D00000X
General Practice Physician
G44674
CA
363A00000X
Physician Assistant
PA11755
CA
Other
Enumeration date
03/25/2015
Last updated
01/15/2020
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