Organization Active NPI

Beverly Hills Hormone Institute Inc.

  • Medical Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1003269945
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20A14618 Issued in CA
Legal business name
BEVERLY HILLS HORMONE INSTITUTE INC.
Practice address
9744 Wilshire Blvd
Suite 200
Beverly Hills, CA 90212-1828
Phone
(877) 857-0146
Fax
(877) 510-4839
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Gorn, DO
Title
President
Phone
(512) 571-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20A14618 CA Primary

Addresses

Primary practice location

9744 Wilshire Blvd
Suite 200
Beverly Hills, CA 90212-1828

Mailing address

3701 Executive Center Dr
Suite 211
Austin, TX 78731-1644
Phone (512) 571-2223

Other names 1

  • BodyLogicDO of Beverly Hills Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1003269945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EXECUTIVE CENTER DR",
            "address_2": "SUITE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311644",
            "telephone_number": "512-571-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121828",
            "telephone_number": "877-857-0146",
            "fax_number": "877-510-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS HORMONE INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "GORN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-571-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A14618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicDO of Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.