Organization
BEVERLY HILLS MEDICAL SUITE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMTIN TOM MASSOUDI MD (PRESIDENT)
(818) 386-0777
Entity
Organization
Contact information
Practice address
17251 VENTURA BLVD, ENCINO, CA 91316-4007
(818) 386-0777
(818) 386-1930
Mailing address
17251 VENTURA BLVD, ENCINO, CA 91316-4007
(818) 386-0777
(818) 386-1930
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A82557
CA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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