Beverly Hills Eye Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G12365 Issued in CA

Legal business name

BEVERLY HILLS EYE MEDICAL GROUP, INC

Practice address

240 S la Cienega Blvd
Suite 250
Beverly Hills, CA 90211-3324

Phone

(310) 360-0609

Fax

(310) 360-0119

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Joseph Salz, M.D.

Title

President

Phone

(310) 360-0609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laser Vision Medical Associates, Inc. Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154543387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-360-0609",
            "fax_number": "310-360-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-360-0609",
            "fax_number": "310-360-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS EYE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-360-0609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G12365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W15140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Vision Medical Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.