Organization Active NPI

Medpodla Medical Corporation

  • Medical Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1871404046
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MEDPODLA MEDICAL CORPORATION
Practice address
465 N Roxbury Dr Ste 911
Beverly Hills, CA 90210-4212
Phone
(424) 279-6337
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Daniel Ghiyam, MD
Title
Lead Physician
Phone
(424) 279-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

465 N Roxbury Dr Ste 911
Beverly Hills, CA 90210-4212

Mailing address

10490 Wyton Dr
Los Angeles, CA 90024-2554
Phone (424) 279-6337

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1871404046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10490 WYTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242554",
            "telephone_number": "424-279-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 911",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104212",
            "telephone_number": "424-279-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPODLA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "GHIYAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "424-279-6337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.