| Beverly Hills Sports Medicine Group, Inc. | |
|
9478 W Olympic Blvd 307 Beverly Hills CA 90212-4246 | |
| (310) 785-9123 | |
| (206) 202-4724 |
| Full Name | Beverly Hills Sports Medicine Group, Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 9478 W Olympic Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Steven Kaye (CEO) |
| Authorized Official Contact | 3108281522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Sports Medicine Group, Inc. 23852 Pacific Coast Hwy 441 Malibu CA 90265-4879 Ph: (310) 828-1522 | Beverly Hills Sports Medicine Group, Inc. 9478 W Olympic Blvd 307 Beverly Hills CA 90212-4246 Ph: (310) 785-9123 |
| NPI Number | 1477792901 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477792901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G7818 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | G29768 (California) | Primary |
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