Organization
BEVERLY CEDARS SURGICAL GROUP INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE SHEIBANI M.D. (CEO)
(310) 890-0891
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR STE 1012, BEVERLY HILLS, CA 90210-4213
(310) 271-8282
Mailing address
9461 CHARLEVILLE BLVD STE 566, BEVERLY HILLS, CA 90212-3017
(310) 890-0891
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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