Organization Active NPI

Glaucoma Institute of Beverly Hills

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1073875472
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA INSTITUTE OF BEVERLY HILLS
Practice address
8733 Beverly Blvd Suite 103
Los Angeles, CA 90048-1800
Phone
(310) 855-1112
Fax
(310) 855-1211
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Michael S Berlin
Title
President
Phone
(310) 855-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8733 Beverly Blvd Suite 103
Los Angeles, CA 90048-1800

Mailing address

8733 Beverly Blvd Suite 103
Los Angeles, CA 90048-1800
Phone (310) 855-1112

National Provider Directory

National Provider Directory
Tax ID family
Glaucoma Institute Beverly Hills2 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.

Locations

8733 Beverly Blvd
Ste 103
West Hollywood, CA 90048
Phone (310) 855-1112

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1073875472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481800",
            "telephone_number": "310-855-1112",
            "fax_number": "310-855-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481800",
            "telephone_number": "310-855-1112",
            "fax_number": "310-855-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA INSTITUTE OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-1112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.