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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