Beverly Hills Rejuvenation Medical Associates, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BEVERLY HILLS REJUVENATION MEDICAL ASSOCIATES, INC.

Practice address

1860 S Sepulveda Blvd
Los Angeles, CA 90025-4314

Phone

(310) 473-5800

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Haynes

Title

VP, Operations

Phone

(310) 473-5800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrico J Dirienzo, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1215994702
  NPD
• Tiffany M Varchetto

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1558515593
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1740870351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254314",
            "telephone_number": "310-473-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254314",
            "telephone_number": "310-473-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS REJUVENATION MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "310-473-5800"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "infola@bhrcenter.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "1860 S Sepulveda Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900254314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Hills Professional Clinical Counselor Inc
• Beverly Hills Radiology, LLC
• Beverly Hills Regional Surgery Center LP
• Beverly Hills Rehabilitation Centre LLC
• Beverly Hills Rejuvenation Center
• Beverly Hills Senior Care Facility Inc
• Beverly Hills Shoulder and Knee a Medical Corporation
• Beverly Hills Specialty Care Surgery
• Beverly Hills Spine and Pain Inc
• Beverly Hills Sunset Medical Group

• Obstetrics & Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.