Provider Demographics
NPI:1972351401
Name:BEVERLY HILLS OT
Entity type:Organization
Organization Name:BEVERLY HILLS OT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSCAR
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:626-476-3307
Mailing Address - Street 1:138 N HAMILTON DR APT 2
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2253
Mailing Address - Country:US
Mailing Address - Phone:626-476-3307
Mailing Address - Fax:
Practice Address - Street 1:138 N HAMILTON DR APT 2
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2253
Practice Address - Country:US
Practice Address - Phone:626-476-3307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health