Beverly Healthcare Medical Group Inc
Organization Active NPI Internal Medicine Physician · Los Angeles, CA
NPI 1992533731 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1992533731
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BEVERLY HEALTHCARE MEDICAL GROUP INC
- Practice address
- 4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102 - Phone
- (323) 318-2423
- Fax
- (323) 318-2427
- NPI assigned
- Jul 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Naheed Pyar Ali, MD
- Title
- President/ Ceo
- Phone
- (323) 318-2423
Practitioners 1
-
Naheed P. Ali, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240830002312 | CA | Part B Supplier - Clinic/Group Practice | 5294274403 |
Receives reassigned benefits from 1 practitioner Practice locations: Los Angeles, CA |
National Provider Directory
Locations
4260 Beverly Blvd
Ste 100
CA 90004
4260 Beverly Blvd
Ste 100
Los Angeles, CA 90004
Phone (323) 318-2423
4260 Beverly Blvd
Ste 100
Los Angeles, CA 90004
Phone (323) 318-2423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102
Mailing address
4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102
Phone (323) 318-2423
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All providers in Los Angeles, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.