8750 Wilshire Blvd Ste 100 Beverly Hills, CA 90211-2708 (310) 689-3100
Enumerated
May 15, 2006
Record last updated
Oct 26, 2026
License states listed
AL, CA, IL, KY, MO, NJ, NM, NY
Medicare (CMS)
Enrollment
Medicare-enrolled in AR, AZ, CA, FL, GA, ID, IL, IN, KS, KY, LA, ME, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, PA, SC, TN, TX, UT, VA, WA, WI Diagnostic Radiology
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.