Beverly Hills Wellness Physicians Corp

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

BEVERLY HILLS WELLNESS PHYSICIANS CORP

Practice address

701 E 28TH St Ste 100
Long Beach, CA 90806-2769

Phone

(562) 426-2551

Fax

(818) 337-2049

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Edward Brent Laugeson

Title

Manager

Phone

(818) 518-5980

Specialties & licenses 1

Addresses

Tax ID family

Beverly Hills Wellness Physician Corp2 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.

• Beverly Hills Wellness Physicians Corp

  • Allergy Physician
  • Long Beach, CA
  • NPI 1053705228
  NPD tax ID

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1366808016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062769",
            "telephone_number": "562-426-2551",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS WELLNESS PHYSICIANS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LAUGESON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-518-5980"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bettys House of Care Inc
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• Beverly Hills Plastic Surgery Management, LLC
• Beverly Hills Plastic Surgery Physicians, Inc.
• Beverly Hills Wellness Physicians Corp
• Jewels Beverly
• Ra'Anaa J Bey
• Beyond Behavior
• Beyond Birth Care
• Beyond Wellness PLLC

• All providers in Long Beach, CA
• Clinic Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.