BEVERLY HILLS SUNSET MEDICAL GROUP (NPI# 1508188913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188913 |
| Entity Type | Organization |
| Organization Name | BEVERLY HILLS SUNSET MEDICAL GROUP |
| Practice Address |
9201 W Sunset Blvd Suite M155 Los Angeles CA 90069-3701 |
| Mailing Address |
Po Box 15427 Beverly Hills CA 90209-1427 |
| Practice Telephone | 8883801899 |
| Practice Fax Number | 6268140915 |
| Mailing Telephone | 8883801899 |
| Mailing Fax Number | 6268140915 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | MR. NICK HOOMAN MASHOUR (PRESIDENT) |
| Authorized Official Telephone | 8883801899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 301026 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 493968 | CA | Nursing Service Providers |
| N | 207X00000X | Orthopaedic Surgery | G83471 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A25405 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A24640 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A61974 | CA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA18539 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | A72007 | CA | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
9201 W SUNSET BLVD SUITE M155 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90069-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121087 | Rambod Etessami-azam | Dentist | 9201 W Sunset Blvd, Suite 908, Los Angeles, CA 90069-3701 | 2016-05-04 |
| 1720444979 | Mitanaur Anesthesia Services Inc | Anesthesiology | 9201 W Sunset Blvd, Ste#405, Los Angeles, CA 90069-3701 | 2016-01-04 |
| 1497191027 | Philip Ruben | Dentist | 9201 W Sunset Blvd, Suite 903, Los Angeles, CA 90069-3701 | 2013-05-22 |
| 1700229903 | Rami Etessami Dds. Inc. | Dentist | 9201 W Sunset Blvd, Suite 908, Los Angeles, CA 90069-3701 | 2013-04-08 |
| 1265705925 | Gary Motykie, M.d. A Medical Corporation | Surgery | 9201 W Sunset Blvd, Suite Gf-1, Los Angeles, CA 90069-3701 | 2012-02-10 |
| 1508159161 | Jennifer Marie Heiger | Naturopath | 9201 W Sunset Blvd, Suite 701, Los Angeles, CA 90069-3701 | 2011-05-16 |
| 1003129016 | 9201 Sunset Surgery Center, Inc. | Clinic/Center | 9201 W Sunset Blvd, Suite Gf, Los Angeles, CA 90069-3701 | 2010-07-19 |
| 1962721621 | Devin Otagaki | Physical Therapist | 9201 W Sunset Blvd, Los Angeles, CA 90069-3701 | 2010-05-20 |
| 1497070510 | Jeanette Marie Black | Dermatology | 9201 W Sunset Blvd, Suite 602, Los Angeles, CA 90069-3701 | 2010-03-31 |
| 1699003731 | Jeffrey D Hoefflin Md Inc | Surgery | 9201 W Sunset Blvd, Ste.#805, Los Angeles, CA 90069-3701 | 2009-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680905 | Siavash Arani | Internal Medicine | 4524 San Pedro Pl, Los Angeles, CA 90011-3434 | 2020-08-19 |
| 1306455787 | All Health Medical Group, Inc | Internal Medicine | 1300 N Vermont Ave Ste 1008, Los Angeles, CA 90027-6096 | 2020-07-30 |
| 1912533985 | Milgrom Medical Inc. | Internal Medicine | 1555 Vine St Apt 433s, Los Angeles, CA 90028-5298 | 2020-03-20 |
| 1316582059 | Sera Ramadan, D.o., Inc | Internal Medicine | 1245 Wilshire Blvd Ste 812, Los Angeles, CA 90017-4808 | 2019-11-15 |
| 1154971018 | Del Refugio Healthcare Inc | Internal Medicine | 4800 S Central Ave Ste B, Los Angeles, CA 90011-5459 | 2019-09-12 |
| 1851957245 | Aviva Iofel, M.d., Inc. | Internal Medicine | 6234 Fountain Ave Unit B, Los Angeles, CA 90028-8214 | 2019-05-12 |
| 1588120539 | Netzah Health Corp | Internal Medicine | 866 N Vermont Ave Ste 2, Los Angeles, CA 90029-3587 | 2019-02-14 |
| 1306310495 | Baltimo Medical Center Inc | Internal Medicine | 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 | 2019-01-11 |
| 1528531316 | Dauna Marie Health Care Inc | Internal Medicine | 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 | 2019-01-04 |
| 1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90069 |
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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.