Medipace Pol

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4840 Issued in CA

Legal business name

MEDIPACE POL

Doing business as

Medipace Medical Group

Practice address

9033 Wilshire Blvd
5TH Floor
Beverly Hills, CA 90211-1837

Phone

(310) 550-6240

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mercedes Bin

Title

Office Manager

Phone

(310) 550-6242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDIPACE MEDICAL GROUP Doing business as

Locations

Practitioners 3

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

• Aret Akian, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1285792762
  NPD (past)
• Victor Gura, MD

  • Nephrology Physician
  • Beverly Hills, CA
  • NPI 1932296357
  NPD (past)
• Ronald P Lang, M.D.

  • Nephrology Physician
  • West Hollywood, CA
  • NPI 1639230550
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992924146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "5TH FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "5TH FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-550-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPACE POL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIN",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-550-6242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB54371F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIPACE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Group of Beverly Hills (Cedars Sinai Medical Group)
• Medical Imaging Associates (Beverly Hills Diagnostic Breast Center Medical Group)
• Medical Imaging Partners, Inc
• Medicus Telehealth Inc.
• Medipace Beverly Hills Professional Corporation
• Medivolve Physician Practice PC
• Mednik Medical Corporation
• Medpodla Medical Corporation
• Medsurgical
• Medycall, Inc (Beverly Hills Surgery Center of Excellence)

• Clinical Medical Laboratory in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Medical Laboratory 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.