Organization Active NPI

Sheila Yafai Bolour, MD Inc

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1639210313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75332 Issued in CA
Legal business name
SHEILA YAFAI BOLOUR, MD INC
Practice address
150 N Robertson Blvd Ste 222
Beverly Hills, CA 90211-2144
Phone
(310) 279-4649
NPI assigned
Feb 8, 2007
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
Sheila Bolour, MDNPI 1073662748
Title
President
Phone
(310) 780-3959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A75332 CA Primary

Addresses

Primary practice location

150 N Robertson Blvd Ste 222
Beverly Hills, CA 90211-2144

Mailing address

PO Box 17923
Beverly Hills, CA 90209-3923
Phone (310) 780-3959

National Provider Directory

National Provider Directory

Practitioners & 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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639210313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17923",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902093923",
            "telephone_number": "310-780-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112144",
            "telephone_number": "310-279-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA YAFAI BOLOUR, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLOUR",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-780-3959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75332",
            "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.