Organization
NERVE MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATAN SHAOULIAN (CEO)
(310) 278-2525
Entity
Organization
Contact information
Practice address
9301 WILSHIRE BLVD, SUITE 600, BEVERLY HILLS, CA 90210-5424
(310) 278-2525
(310) 278-4355
Mailing address
9301 WILSHIRE BLVD, SUITE 600, BEVERLY HILLS, CA 90210-5424
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A72440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114926433
—
CA
Enumeration date
06/19/2009
Last updated
07/29/2010
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