Organization Active NPI

Bedford Anesthesia Inc.

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1851986863
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BEDFORD ANESTHESIA INC.
Practice address
436 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4320
Phone
(310) 205-3646
Fax
(310) 271-6996
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Dr. Eugene Kyoungchul Kim, MDNPI 1780864504
Title
President
Phone
(917) 902-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

436 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4320

Mailing address

436 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4320
Phone (310) 205-3646

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1851986863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104320",
            "telephone_number": "310-205-3646",
            "fax_number": "310-271-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104320",
            "telephone_number": "310-205-3646",
            "fax_number": "310-271-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD ANESTHESIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "KYOUNGCHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-902-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Mar 2, 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.