436 BEVERLY HILLS, LLC – NPI #1972694487
Clinic/Center

436 BEVERLY HILLS, LLC is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1972694487 to 436 BEVERLY HILLS, LLC on September 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 436 BEVERLY HILLS, LLC below.

NPI Profile for
436 BEVERLY HILLS, LLC

NPI Number
1972694487
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
436 BEVERLY HILLS, LLC
Primary location
436 N BEDFORD DR
SUITE 102
BEVERLY HILLS, CA 90210-4310
Phone: (310) 278-8200 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA CASSILETH
MEDICAL DIRECTOR
Phone: (310) 278-8200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.