Bodylogicmd of Bevely Hills

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BODYLOGICMD OF BEVELY HILLS

Practice address

9744 Wilshire Blvd
Suite 200
Beverly Hills, CA 90212

Phone

(310) 760-8268

Fax

(877) 709-9034

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Ann Garcia, MD

Title

President

Phone

(714) 396-2747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1669913661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121828",
            "telephone_number": "310-760-8268",
            "fax_number": "877-709-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-760-8268",
            "fax_number": "877-709-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYLOGICMD OF BEVELY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-396-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B. Bockoff, M.D.
• Bodies in Balance LLC
• Body Nourishment Wellness Spa
• Body Reform Physical Therapies Inc.
• Body Reform Physical Therapies, Inc.
• Jillian C Boettcher, DDS
• Natasha Boghosian, D.D.S.
• Melissa Julie Bohbot
• Stephanie Bolling, MS, PT, OCS
• William Seth Bolling, M.D.

• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.