Organization
BEVERLY HILLS MEDICAL INSTITUTE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAGHAYEGH TAVASSOLI MD (PRESIDENT)
(310) 688-8080
Entity
Organization
Contact information
Practice address
8635 W 3RD ST STE 865W, LOS ANGELES, CA 90048-6140
(310) 688-8080
(310) 688-8081
Mailing address
621 N HILLCREST RD, BEVERLY HILLS, CA 90210-3514
(310) 688-8080
(310) 688-8081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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