Beverly Hills Medical Suite Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEVERLY HILLS MEDICAL SUITE INC

Practice address

416 N Bedford Dr
Suite 102
Beverly Hills, CA 90210-4322

Phone

(310) 273-6637

Fax

(310) 273-2138

NPI assigned

May 7, 2012

Last updated

May 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Khalili

Title

Owner

Phone

(310) 273-6637

Specialties & licenses 1

Addresses

Tax ID family

Beverly Hills Medical Suite Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beverly Hills Medical Suite, Inc

  • Health Service Clinic/Center
  • Encino, CA
  • NPI 1396953683
  NPD tax ID

Locations

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.

• Tom Kalili, D.M.D

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1063671758
  NPD (past)

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1861751174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-273-6637",
            "fax_number": "310-273-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-273-6637",
            "fax_number": "310-273-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS MEDICAL SUITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-273-6637"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Magnetic Imaging
• Beverly Hills Marriage and Family Therapy Center, Inc.
• Beverly Hills Medical Center
• Beverly Hills Medical Center for Cosmetic Surgery Inc
• Beverly Hills Medical Imaging
• Beverly Hills Migraine and Pain Management Institute, Inc
• Beverly Hills Multispecialty Surgical Center, LLC
• Beverly Hills Nephrology Medical Group
• Beverly Hills Oncology Medical Group Inc (Beverly Hills Cancer Center)
• Beverly Hills Operatory

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.