| Beverly Hills Neurology | |
|
8436 W 3rd St Ste 800 Los Angeles CA 90048-4100 | |
| (818) 850-0183 | |
| (818) 921-4129 |
| Full Name | Beverly Hills Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8436 W 3rd St Ste 800, Los Angeles, California |
| Authorized Official Name and Position | Farhad Melamed (OWNER) |
| Authorized Official Contact | 3106951830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Neurology 8436 W 3rd St Ste 800 Los Angeles CA 90048-4100 Ph: (818) 850-0183 | Beverly Hills Neurology 8436 W 3rd St Ste 800 Los Angeles CA 90048-4100 Ph: (818) 850-0183 |
| NPI Number | 1427543909 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Medicare PECOS PAC ID | 9335499979 |
|---|---|
| Medicare Enrollment ID | O20180903000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427543909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ronald M Andiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902936396 PECOS PAC ID: 3577692656 Enrollment ID: I20100527000762 |
| Provider Name | Abdi Morovati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417000563 PECOS PAC ID: 9335138502 Enrollment ID: I20151119001098 |
| Provider Name | Daniel Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154875961 PECOS PAC ID: 7416318662 Enrollment ID: I20230803002560 |
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