Organization Active NPI

Ehab a. Mohamed Medical Corporation, Inc.

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1629137583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A72575 Issued in CA
Legal business name
EHAB A. MOHAMED MEDICAL CORPORATION, INC.
Practice address
9735 Wilshire Blvd
Suite 414
Beverly Hills, CA 90212-2107
Phone
(310) 276-5890
Fax
(310) 276-5892
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ehab A Mohamed, M.D.
Title
Owner
Phone
(310) 276-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A72575 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd
Suite 414
Beverly Hills, CA 90212-2107

Mailing address

9735 Wilshire Blvd
Suite 414
Beverly Hills, CA 90212-2107
Phone (310) 276-5890

National Provider Directory

National Provider Directory

Locations

9735 Wilshire Blvd
Ste 414
Beverly Hills, CA 90212
Phone (310) 254-7916

815 N Downs St
Ste A
Ridgecrest, CA 93555
Phone (760) 371-2177

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629137583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "SUITE 414",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-276-5890",
            "fax_number": "310-276-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "SUITE 414",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-276-5890",
            "fax_number": "310-276-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHAB A. MOHAMED MEDICAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-276-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A72575",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.