Beverly Hills Nephrology Medical Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A25041 Issued in CA

Legal business name

BEVERLY HILLS NEPHROLOGY MEDICAL GROUP

Practice address

435 N Bedford Dr
# 312
Beverly Hills, CA 90210-4321

Phone

(310) 858-5090

Fax

(310) 276-5508

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mike Mirahmadi, M.D.

Title

President

Phone

(310) 858-5090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407073596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S LA CIENEGA BLVD",
            "address_2": "# 1015",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "310-858-5090",
            "fax_number": "310-276-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "# 312",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-858-5090",
            "fax_number": "310-276-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS NEPHROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRAHMADI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-858-5090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A25041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beverly Hills Oncology Medical Group Inc (Beverly Hills Cancer Center)
• Beverly Hills Operatory
• Beverly Hills Orthopedic Center, Inc.
• Beverly Hills Orthopedic Institute
• Beverly Hills OT

• Nephrology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Nephrology Physician 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.