Organization
BEVERLY HILLS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI HADADZ MD (PRESIDENT)
(310) 274-5510
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-6804
(310) 204-5510
(310) 204-5518
Mailing address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-6804
(310) 204-5510
(310) 204-5518
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A698160
—
CA
01
—
010066259
MEDICARE RAILROAD
CA
01
—
ZZZ05665Z
BLUE SHIELD CA
CA
Enumeration date
07/08/2006
Last updated
09/19/2014
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