Body Design and Rejuvenation Medical Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G71967 Issued in CA

Legal business name

BODY DESIGN AND REJUVENATION MEDICAL CENTER

Practice address

7901 Santa Monica Blvd
#101
West Hollywood, CA 90046-5177

Phone

(323) 650-9920

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Verbukh, M.D.NPI 1942382858

Title

Owner

Phone

(323) 650-9920

Specialties & licenses 1

Addresses

Other names 1

• RELIABLE ANESTHESIA MEDICAL GROUP Doing business as

Tax ID family

Body Design and Rejuvenation Medical Center2 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.

• Reliable Anesthesia Medical Group, a Professional Corporation

  • Anesthesiology Physician
  • Marina del Rey, CA
  • NPI 1619201712
  NPD tax ID

Practitioners 1

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

• Isaac Verbukh, M.D.

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1942382858
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487736385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD",
            "address_2": "#101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "323-650-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DESIGN AND REJUVENATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-650-9920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G71967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIABLE ANESTHESIA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Blok-Kalnasy, PA
• Bloom Women'S Physical Therapy, Inc.
• Blooming Learners LLC
• Christy Jean Blotzer, RADT
• Marissa Blair Bluen, LCSW
• Karynne Boese
• Francesco Boin, M.D.
• Batbold Boldbaatar, MD, PHD
• Maritza Bollain Y Goytia
• Drew Bolster, MD

• Anesthesiology Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Anesthesiology 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.