Organization
BEDFORD BREAST CENTER, INC
Active
Organization
BEDFORD BREAST CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA LYONS (MANAGER)
(310) 278-8590
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 105, BEVERLY HILLS, CA 90210-4310
(310) 278-8590
(310) 278-8230
Mailing address
436 N BEDFORD DR, SUITE 105, BEVERLY HILLS, CA 90210-4310
(310) 278-8590
(310) 278-8230
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3762179
CORPORATION ENTITY NUMBER
—
Enumeration date
04/09/2015
Last updated
04/09/2015
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