Organization
BEVERLY HILLS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN H NOVACK M.D. (PRESIDENT)
(310) 888-8818
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR, SUITE 101, BEVERLY HILLS, CA 90210-4532
(310) 888-8818
Mailing address
414 N CAMDEN DR, SUITE 101, BEVERLY HILLS, CA 90210-4532
(310) 888-8818
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
19917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19917
AAAHC
CA
Enumeration date
04/26/2017
Last updated
04/26/2017
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