Organization Active NPI

Westside Wilshire Medical Group

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1841538246
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTSIDE WILSHIRE MEDICAL GROUP
Practice address
9249 Burton Way
206
Beverly Hills, CA 90210-3722
Phone
(323) 556-3470
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Lana Geyber, MD
Title
Owner
Phone
(323) 556-3470

Specialties & licenses 1

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

Addresses

Primary practice location

9249 Burton Way
206
Beverly Hills, CA 90210-3722

Mailing address

9249 Burton Way
206
Beverly Hills, CA 90210-3722

Other identifiers 1

IdentifierTypeStateIssuer
A49805OtherCASTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1841538246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 BURTON WAY",
            "address_2": "206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 BURTON WAY",
            "address_2": "206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103722",
            "telephone_number": "323-556-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WILSHIRE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "GEYBER",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-556-3470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A49805",
            "state": "CA"
        }
    ],
    "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 Jan 21, 2013; 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.