Organization Active NPI

Dr. Mark M. Ghalili DO Inc

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1215428768
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. MARK M. GHALILI DO INC
Practice address
8500 Wilshire Blvd Ste 518
Beverly Hills, CA 90211-3111
Phone
(855) 437-7836
Fax
(800) 983-4902
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Dr. Mark Ghalili, DO
Title
President
Phone
(855) 437-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 518
Beverly Hills, CA 90211-3111

Mailing address

8500 Wilshire Blvd Ste 518
Beverly Hills, CA 90211-3111
Phone (855) 437-7836

Other names 1

  • Regenerative Medicine LA 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": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1215428768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 518",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113111",
            "telephone_number": "855-437-7836",
            "fax_number": "800-983-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 518",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113111",
            "telephone_number": "855-437-7836",
            "fax_number": "800-983-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK M. GHALILI DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "GHALILI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-437-7836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Medicine LA",
            "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 May 21, 2018; 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.