Provider Demographics
NPI:1386067361
Name:C.B.E.S.T., INC
Entity type:Organization
Organization Name:C.B.E.S.T., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PARDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLANDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-445-2378
Mailing Address - Street 1:11620 WILSHIRE BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1779
Mailing Address - Country:US
Mailing Address - Phone:310-445-2378
Mailing Address - Fax:310-445-5351
Practice Address - Street 1:11620 WILSHIRE BLVD #450
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-445-2378
Practice Address - Fax:310-445-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24206252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency