Medivolve Physician Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDIVOLVE PHYSICIAN PRACTICE PC

Practice address

120 El Camino Dr
Beverly Hills, CA 90212-2730

Phone

(702) 853-4318

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avi Factor

Title

Ceo

Phone

(702) 853-4318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1295471324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EL CAMINO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EL CAMINO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122730",
            "telephone_number": "702-853-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVOLVE PHYSICIAN PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-853-4318"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Meepos, MD

• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.