Beverly OB & GYN Medical Center Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

BEVERLY OB & GYN MEDICAL CENTER INC.

Practice address

4620 Beverly Blvd Ste 101
Los Angeles, CA 90004-3102

Phone

(323) 462-6423

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Edward S. Ahn, M.D.NPI 1982663795

Title

Physician

Phone

(323) 462-6423

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Edward Ahn, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1982663795
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1306320619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043102",
            "telephone_number": "323-462-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043102",
            "telephone_number": "323-462-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY OB & GYN MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-462-6423",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Mason Serenity Living
• Beverly Mason Serenity Living
• Beverly Medical Group
• Beverly Mental Health Service
• Beverly Multispecialty Clinic Inc
• Beverly Orthopedic Laboratory Inc
• Beverly Radiology Medical Group
• Beverly Radiology Medical Group III
• Beverly Surgery Center, Inc
• Beverly West Healthcare, LLC

• Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.