JE MEDICAL CORPORATION (NPI# 1437568235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437568235 |
| Entity Type | Organization |
| Organization Name | JE MEDICAL CORPORATION |
| Practice Address |
9461 Charleville Blvd # 242 Beverly Hills CA 90212-3017 |
| Practice Telephone | 3102924883 |
| Practice Fax Number | 3108611711 |
| Mailing Telephone | 3102924883 |
| Mailing Fax Number | 3108611711 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | ALI JOHN ENAYATI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3102924883 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A73998 | CA | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | A73998 | CA | Ambulatory Health Care Facilities |
| Street Address |
9461 CHARLEVILLE BLVD # 242 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-3017 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1003331612 | Boulevard Pharmacy Inc | Clinic/Center | 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211-3561 | 2017-08-04 |
| 1053840835 | New Body Acupuncture | Clinic/Center | 240 S La Cienega Blvd Ste 104, Beverly Hills, CA 90211-3313 | 2017-06-06 |
| 1598202293 | Grace Lee Peng, Md | Clinic/Center | 324 S Beverly Dr # 150, Beverly Hills, CA 90212-4801 | 2017-01-19 |
| 1215234349 | Beverly Hills Integrated Surgical, Inc | Clinic/Center | 9231 W Olympic Blvd, Beverly Hills, CA 90212-4658 | 2011-02-25 |
| 1033430319 | Kaiser Permanente | Clinic/Center | 204 S Arnaz Dr Apt 3, Beverly Hills, CA 90211-2818 | 2010-06-21 |
| 1386961860 | Hillel Laks Md Inc | Clinic/Center | 615 N Crescent Dr, Beverly Hills, CA 90210-3329 | 2010-04-23 |
| 1487820601 | Robert A. Audell, M.d.,medical Corporation | Clinic/Center | 8670 Wilshire Blvd Ste 202, Beverly Hills, CA 90211-2930 | 2008-05-07 |
| 1538337662 | Shing Medical Boutique | Clinic/Center | 50 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2246 | 2008-02-12 |
| 1386822518 | Carol Gordon Devore Md PC | Clinic/Center | 31815 Southfield Rd Ste 16, Beverly Hills, MI 48025-5471 | 2008-02-11 |
| 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.