Organization Active NPI

Beverly Hills Group of Women Physicians

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1861598757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G65679 Issued in CA
Legal business name
BEVERLY HILLS GROUP OF WOMEN PHYSICIANS
Practice address
8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-2919
Phone
(310) 659-6210
Fax
(310) 659-5185
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janeth Corona
Title
Billing Supervisor
Phone
(310) 659-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G65679 CA Primary

Addresses

Primary practice location

8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-2919

Mailing address

8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-2919
Phone (310) 659-6210

Other identifiers 1

IdentifierTypeStateIssuer
A77836OtherCADR. LILY P. LEE CA LICENS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861598757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112919",
            "telephone_number": "310-659-6210",
            "fax_number": "310-659-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112919",
            "telephone_number": "310-659-6210",
            "fax_number": "310-659-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS GROUP OF WOMEN PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "JANETH",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "310-659-4052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LILY P. LEE CA LICENS",
            "identifier": "A77836",
            "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 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.