| Beverly Ob & Gyn Medical Center Inc. | |
|
4620 Beverly Blvd Ste 101 Los Angeles CA 90004-3102 | |
| (323) 462-6423 | |
| Not Available |
| Full Name | Beverly Ob & Gyn Medical Center Inc. |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 4620 Beverly Blvd Ste 101, Los Angeles, California |
| Authorized Official Name and Position | Edward S. Ahn (PHYSICIAN) |
| Authorized Official Contact | 3234626423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Ob & Gyn Medical Center Inc. 4620 Beverly Blvd Ste 101 Los Angeles CA 90004-3102 Ph: (323) 462-6423 | Beverly Ob & Gyn Medical Center Inc. 4620 Beverly Blvd Ste 101 Los Angeles CA 90004-3102 Ph: (323) 462-6423 |
| NPI Number | 1306320619 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306320619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
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