Beverly Hills Wellness Physicians Corp

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G44674 Issued in CA

Legal business name

BEVERLY HILLS WELLNESS PHYSICIANS CORP

Practice address

701 E 28TH St Ste 100
Long Beach, CA 90806-2769

Phone

(562) 426-2551

Fax

(818) 337-2049

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Edward Brent Laugeson

Title

Manager

Phone

(818) 518-5980

Specialties & licenses 10

Addresses

Other names 1

• Beverly Hills Wellness Physician Corp Doing business as

Tax ID family

Beverly Hills Wellness Physician Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beverly Hills Wellness Physicians Corp

  • Clinic Pharmacy
  • Long Beach, CA
  • NPI 1366808016
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn J. Goodloe, MD

  • General Practice Physician
  • West Hills, CA
  • NPI 1881742674

  Otolaryngic Allergy

  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1053705228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-548-5980",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062769",
            "telephone_number": "562-426-2551",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS WELLNESS PHYSICIANS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LAUGESON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-518-5980"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77740",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G44674",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "G56249",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A063319",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56249",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "G44674",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G28478",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G44674",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G44674",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Wellness Physician Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beverly Hills Wellness Physician Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Better When We'Re Together
• Bettys House of Care Inc
• Bettys House of Care Inc
• Beverly Hills Plastic Surgery Management, LLC
• Beverly Hills Plastic Surgery Physicians, Inc.
• Beverly Hills Wellness Physicians Corp
• Jewels Beverly
• Ra'Anaa J Bey
• Beyond Behavior
• Beyond Birth Care

• Allergy Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.