| Beverly Western Medical Group Inc | |
|
4620 Beverly Blvd # 100 Los Angeles CA 90004-3102 | |
| (323) 848-4122 | |
| (323) 848-4168 |
| Full Name | Beverly Western Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4620 Beverly Blvd # 100, Los Angeles, California |
| Authorized Official Name and Position | Zain Ud-din Kadri (PRESIDENT) |
| Authorized Official Contact | 3238484122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Western Medical Group Inc 4620 Beverly Blvd # 100 Los Angeles CA 90004-3102 Ph: (323) 848-4122 | Beverly Western Medical Group Inc 4620 Beverly Blvd # 100 Los Angeles CA 90004-3102 Ph: (323) 848-4122 |
| NPI Number | 1700681384 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700681384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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