Active NPI
Eugene G Flaum, M.D.
- Otolaryngology Physician
- Beverly Hills, CA
National Provider Identifier
1417971284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A21554
- Practice address
- 8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924 - Phone
- (310) 657-6420
- Fax
- (310) 659-7681
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A21554 | CA | Primary |
Addresses
Primary practice location
8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924
Mailing address
8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924
Phone (310) 657-6420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A215540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21554 | CA | MD | Otolaryngology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Beverly Hills, CA
- NPI 1891912697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1417971284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8670 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112924",
"telephone_number": "310-657-6420",
"fax_number": "310-659-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8670 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112924",
"telephone_number": "310-657-6420",
"fax_number": "310-659-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAUM",
"first_name": "EUGENE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A21554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A215540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Kathleen A Fitzgerald, PH.D.
- Sherri Christine Fitzgerald, DC
- Howard E Flaks, MD
- Flash Medical, P.C. (Transitions Medical Group)
- Tommie Flashman, M.D.
- Fleming & Mayer MDS a Medical Partnership (The Beverly Hills of Aesthetic & Reconstructive Surgery)
- Richard William Fleming
- Carlisha Fletcher, RN
- Diane Fletcher, PHD
- Flex Urgent Care, a Professional Corporation (Flex Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.