Provider Demographics
NPI:1457546327
Name:BEVERLY HILLS SHOULDER AND KNEE A MEDICAL CORPORATION
Entity type:Organization
Organization Name:BEVERLY HILLS SHOULDER AND KNEE A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SALIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-423-9898
Mailing Address - Street 1:444 S SAN VICENTE BLVD STE 603
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4178
Mailing Address - Country:US
Mailing Address - Phone:310-423-9898
Mailing Address - Fax:310-423-9285
Practice Address - Street 1:444 S SAN VICENTE BLVD STE 603
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4178
Practice Address - Country:US
Practice Address - Phone:310-423-9898
Practice Address - Fax:310-423-9285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty