Organization
BEVERLY HILLS SUNSET MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK HOOMAN MASHOUR MD (PRESIDENT)
(888) 380-1899
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVD, SUITE M155, LOS ANGELES, CA 90069-3701
(888) 380-1899
(626) 814-0915
Mailing address
PO BOX 15427, BEVERLY HILLS, CA 90209-1427
(888) 380-1899
(626) 814-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301026
CA
163W00000X
Registered Nurse
493968
CA
207R00000X
Internal Medicine Physician
Primary
A72007
CA
207X00000X
Orthopaedic Surgery Physician
G83471
CA
2084N0400X
Neurology Physician
A24640
CA
2084N0400X
Neurology Physician
A25405
CA
2084N0400X
Neurology Physician
A61974
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
PA18539
CA
Other
Enumeration date
02/26/2010
Last updated
02/08/2012
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