Active NPI
Neurology Muscular Dystrophy and Neuropathy Institute
- Neurology Physician
- Beverly Hills, CA
National Provider Identifier
1619043734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A72440
- Legal business name
- NEUROLOGY MUSCULAR DYSTROPHY AND NEUROPATHY INSTITUTE
- Practice address
- 9301 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5424 - Phone
- (310) 278-2525
- NPI assigned
- Nov 28, 2006
- Last updated
- Dec 13, 2007
- 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. Natan Ryan Shaoulian, MD
- Title
- Owner
- Phone
- 31025782525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A72440 | CA | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5424
Mailing address
9301 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5424
Phone (310) 278-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A724400 | Medicaid | CA |
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, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Culver City, CA
- NPI 1114926433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1619043734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD",
"address_2": "SUITE 600",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105424",
"telephone_number": "310-278-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD",
"address_2": "SUITE 600",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105424",
"telephone_number": "310-278-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY MUSCULAR DYSTROPHY AND NEUROPATHY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "SHAOULIAN",
"authorized_official_first_name": "NATAN",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "31025782525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A72440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A724400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.