Organization Active NPI

Cherlin Johnson MD Medical Corporation

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1720184302
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A85541 Issued in CA
Legal business name
CHERLIN JOHNSON MD MEDICAL CORPORATION
Practice address
8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102
Phone
(310) 657-0366
Fax
(310) 657-0466
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Daniel F Jacobsen
Title
President
Phone
(310) 657-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A85541 CA Primary

Addresses

Primary practice location

8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102

Mailing address

8530 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-3102
Phone (310) 657-0366

National Provider Directory

National Provider Directory

Locations

8530 Wilshire Blvd
Ste 250
Beverly Hills, CA 90211
Phone (310) 550-6728

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1720184302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113102",
            "telephone_number": "310-657-0366",
            "fax_number": "310-657-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113102",
            "telephone_number": "310-657-0366",
            "fax_number": "310-657-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERLIN JOHNSON MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-0366"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A85541",
            "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 Sep 20, 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.

Verify at the official NPI Registry.