Beverly Hills Wellness Center Inc

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

Legal business name

BEVERLY HILLS WELLNESS CENTER INC

Practice address

6360 Wilshire Blvd Ste 409
Los Angeles, CA 90048-5606

Phone

(310) 278-4567

Fax

(310) 861-5255

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Reuben Venning

Title

Office Manager

Phone

(310) 278-4567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sally Park

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1306417571
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1801490891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "310-278-4567",
            "fax_number": "310-861-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "310-278-4567",
            "fax_number": "310-861-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "VENNING",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-278-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cytopathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cytopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.