Active NPI
Emana Medical
- Dermatology Physician
- Beverly Hills, CA
National Provider Identifier
1528537834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- EMANA MEDICAL
- Practice address
- 435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348 - Phone
- (310) 878-4321
- NPI assigned
- Nov 15, 2018
- 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
- Dr. Emana Adballah, DO
- Title
- Owner
- Phone
- (310) 878-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348
Mailing address
435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348
Phone (310) 878-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528321957 | Other | CA | INDIVIDUAL NPI |
Other names 1
- Emana Medical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563926400000",
"number": "1528537834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N BEDFORD DR STE 305",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104348",
"telephone_number": "310-878-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N BEDFORD DR STE 305",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104348",
"telephone_number": "310-878-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMANA MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-15",
"last_updated": "2019-07-24",
"status": "A",
"authorized_official_last_name": "ADBALLAH",
"authorized_official_first_name": "EMANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-878-4321",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1528321957",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Emana Medical",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Beverly Hills, CA
- Navah Nazanin Elyasian, LMFT
- Mary Elyasnik
- Ghazaleh Elyaszadeh, LICENSE MFT
- Shirley Wintfred Elzinga, D.C., L.AC., CRNA
- Claudia Nazanin Emami, M.D.
- Emanuel Gottlieb, DDS Inc, a Professional Dental Corporation
- Embodiment Psychology Group a Professional Corporation
- Emmanuel O Emenike, M.D.
- Emergency Department Services
- Emergency Room Services PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.