Organization
BEVERLY HILLS FITNESS GROUP, INC.
Active
Organization
BEVERLY HILLS FITNESS GROUP, INC.
Active
Other names
Beverly Hills Medical Exercise
Organization subpart
No
Provider details
NPI number
Authorized official
LEON JEREMY LAVIGNE (PRESIDENT)
(310) 927-2162
Entity
Organization
Contact information
Practice address
13535 VALLEYHEART DR N, SHERMAN OAKS, CA 91423-3123
(310) 927-2162
Mailing address
13535 VALLEYHEART DR N, SHERMAN OAKS, CA 91423-3123
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
A052594
CA
261QH0100X
Health Service Clinic/Center
Primary
A052594
CA
Other
Enumeration date
08/05/2013
Last updated
09/12/2013
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