CHILD NEUROLOGY OF BEVERLY HILLS, INC (NPI# 1770748261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770748261 |
| Entity Type | Organization |
| Organization Name | CHILD NEUROLOGY OF BEVERLY HILLS, INC |
| Practice Address |
501 W Glenoaks Blvd # 705 Glendale CA 91202-2896 |
| Practice Telephone | 8187887857 |
| Practice Fax Number | 8187887857 |
| Mailing Telephone | 8187887857 |
| Mailing Fax Number | 8187887857 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | DR. MICHELE MARIE VAN HIRTUM-DAS (PRESIDENT) |
| Authorized Official Telephone | 8187887857 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A73193 | CA | Ambulatory Health Care Facilities |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A73193 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
501 W GLENOAKS BLVD # 705 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579518 | Best Care Medical Management Inc | Pharmacy | 501 W Glenoaks Blvd, Ste 12, Glendale, CA 91202-3395 | 2005-09-27 |
| 1275957748 | Child Neurology of Beverly Hills | Psychiatry & Neurology | 501 W Glenoaks Blvd, # 705, Glendale, CA 91202-2896 | 2014-02-05 |
| 1831478908 | Christine Sarkissian | Dental Hygienist | 501 W Glenoaks Blvd, 104, Glendale, CA 91202 | 2011-08-08 |
| 1225320633 | Best Care Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 501 W Glenoaks Blvd, 12, Glendale, CA 91202-3395 | 2011-05-04 |
| 1790912210 | Ovsep Lusinyan D.d.s. | Dentist | 501 W Glenoaks Blvd, #12, Glendale, CA 91202-2896 | 2009-06-11 |
| 1356582860 | Pediatric Subspecialty Associates, Inc | Pediatrics | 501 W Glenoaks Blvd, #650, Glendale, CA 91202-2896 | 2009-03-12 |
| 1467640128 | Medwise Health & Diagnostic Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 501 W Glenoaks Blvd, 432, Glendale, CA 91202-2896 | 2007-10-09 |
| 1265650493 | Vahan Madatovian | Family Medicine | 501 W Glenoaks Blvd, Suite 205, Glendale, CA 91202-4042 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275957748 | Child Neurology of Beverly Hills | Psychiatry & Neurology | 501 W Glenoaks Blvd, # 705, Glendale, CA 91202-2896 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797937 | A Fine Balance | Psychiatry & Neurology | 4200 Scotts Valley Dr Ste E, Scotts Valley, CA 95066-4539 | 2018-10-30 |
| 1619321791 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 16300 Sand Canyon Ave Ste 488, Irvine, CA 92618-3711 | 2016-04-14 |
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1366857260 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691-8028 | 2014-06-30 |
| 1316387830 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr Ste 195, Laguna Niguel, CA 92677-2040 | 2013-06-28 |
| 1538432463 | Joao Siffert | Psychiatry & Neurology | 18277 Via Ascenso, Rancho Santa Fe, CA 92067-2802 | 2012-02-23 |
| 1396043006 | Peter Himber | Psychiatry & Neurology | 1525 North Tustin Avenue, Santa Ana, CA 92705 | 2011-03-03 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1497071799 | Jennifer Lynn Martelle Tu | Psychiatry & Neurology | 744 52nd St Fl 5, Oakland, CA 94609-1810 | 2010-04-12 |
| 1912231705 | Audrey Christine Brumback | Psychiatry & Neurology | Ucsf Dept of Neurology 505 Parnassus Ave, Room M798, Box 0114, San Francisco, CA 94143-0001 | 2009-09-25 |
| Find all providers with the same taxonomy | ||||
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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.