Active NPI
The Roxbury Institute
- Procedural Dermatology Physician
- Beverly Hills, CA
National Provider Identifier
1427417716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- G72788
- Legal business name
- THE ROXBURY INSTITUTE
- Practice address
- 450 N Roxbury Drive
#400
Beverly Hills, CA 90210 - Phone
- (424) 394-1610
- Fax
- (424) 394-1628
- NPI assigned
- Feb 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Amron, M.D.
- Title
- Director
- Phone
- (424) 394-1610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | G72788 | CA | Primary |
Addresses
Primary practice location
450 N Roxbury Drive
#400
Beverly Hills, CA 90210
Mailing address
450 N Roxbury Dr Ste 400
Beverly Hills, CA 90210-4218
Phone (424) 394-1610
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1427417716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N ROXBURY DR STE 400",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104218",
"telephone_number": "424-394-1610",
"fax_number": "424-394-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N ROXBURY DRIVE",
"address_2": "#400",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "424-394-1610",
"fax_number": "424-394-1628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ROXBURY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "AMRON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "424-394-1610",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G72788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Theodric B. Hendrix, Jr., M.D.
- Therapy Collective of California
- Therapynow Counseling Professional Corporation
- Therapysmith, Marriage and Family Therapy Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.