Ethos MD Integrative Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G86609 Issued in CA

Legal business name

ETHOS MD INTEGRATIVE MEDICAL GROUP, INC.

Practice address

9001 Wilshire Blvd Ste 304
Beverly Hills, CA 90211-1840

Phone

(310) 385-9432

Fax

(310) 385-0899

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Marie Schwartz, M.D.

Title

President

Phone

(310) 385-9432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861534810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-385-9432",
            "fax_number": "310-385-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-385-9432",
            "fax_number": "310-385-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS MD INTEGRATIVE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-385-9432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G86609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.