BEVERLY HILLS HORMONE INSTITUTE INC. (NPI# 1003269945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003269945 |
| Entity Type | Organization |
| Organization Name | BEVERLY HILLS HORMONE INSTITUTE INC. |
| Other Organization Name | BODYLOGICDO OF BEVERLY HILLS |
| Practice Address |
9744 Wilshire Blvd Suite 200 Beverly Hills CA 90212-1828 |
| Mailing Address |
3701 Executive Center Dr Suite 211 Austin TX 78731-1644 |
| Practice Telephone | 8778570146 |
| Practice Fax Number | 8775104839 |
| Mailing Telephone | 5125712223 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | DR. LISA GORN (PRESIDENT) |
| Authorized Official Telephone | 5125712223 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
20A14618 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BodyLogicDO of Beverly Hills | Doing Business As Name - Organization |
| Street Address |
9744 WILSHIRE BLVD SUITE 200 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487719381 | Care and Cure Medical Clinic | General Practice | 9744 Wilshire Blvd, Suite 200, Beverly Hills, CA 90212 | 2006-12-22 |
| 1669913661 | Bodylogicmd of Bevely Hills | Family Medicine | 9744 Wilshire Blvd, Suite 200, Beverly Hills, CA 90212 | 2017-03-10 |
| 1871845479 | Tracy A. Gumbiner | Speech-Language Pathologist | 9744 Wilshire Blvd, Suite 309, Beverly Hills, CA 90212-1828 | 2012-10-05 |
| 1306972229 | Daniel Alan Levine | Psychiatry & Neurology | 9744 Wilshire Blvd, Suite 400, Beverly Hills, CA 90212-1828 | 2007-02-26 |
| 1376697557 | Guity Moghadam | General Practice | 9744 Wilshire Blvd, Suite 200, Beverly Hills, CA 90212 | 2007-01-23 |
| 1023167418 | Ahmad Matin | General Practice | 9744 Wilshire Blvd, Suite 200, Beverly Hills, CA 90212 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861812380 | Aaron Stone Md, A Medical Corporation | Clinic/Center | 120 S Spalding Dr Ste 330, Beverly Hills, CA 90212-1841 | 2014-04-23 |
| 1568886729 | Hazani Medical Corporation Apc | Clinic/Center | 201 N Robertson Blvd Ste 208, Beverly Hills, CA 90211-1748 | 2014-02-09 |
| 1336335280 | Barry M Braiker Md Inc | Clinic/Center | 8670 Wilshire Blvd Ste 206, Beverly Hills, CA 90211-2930 | 2007-09-24 |
| 1245226505 | H Leon Brooks, M.d. A Medical Corporation | Clinic/Center | 8670 Wilshire Blvd, Suite 206, Beverly Hills, CA 90211-2924 | 2005-09-22 |
| 1467993824 | John Kelleher M.d. Inc. | Clinic/Center | 9171 Wilshire Blvd Ste 680, Beverly Hills, CA 90210-5542 | 2017-03-17 |
| 1578956249 | Gregg K. Nishi, Md, A California Professional Corporation | Clinic/Center | 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 | 2015-03-05 |
| 1861894818 | Adrienne Youdim Md-a Prof Med Corp | Clinic/Center | 201 S Lasky Dr, Beverly Hills, CA 90212-3610 | 2014-09-22 |
| 1710396890 | Aaron Stone Md, A Medical Corporation | Clinic/Center | 120 S Spalding Dr, #330, Beverly Hills, CA 90212-1800 | 2014-08-04 |
| 1790026524 | Robert Koblin, M.d. Inc. | Clinic/Center | 150 N Robertson Blvd, 115, Beverly Hills, CA 90211-2142 | 2013-03-04 |
| 1164776340 | Allen Kamrava, Md Mba Inc. | Clinic/Center | 9001 Wilshire Blvd, Suite 104, Beverly Hills, CA 90211-1838 | 2012-11-09 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.