Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child Neurology of Beverly Hills, Inc

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1770748261

Child Neurology of Beverly Hills, Inc is a Neurology with Special Qualifications in Child Neurology Physician in Glendale, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 W Glenoaks Blvd # 705
Glendale, CA 91202-2896
Phone: (818) 788-7857
Fax: (818) 788-7857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence A73193 (CA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence A73193 (CA)

Record details

NPI number1770748261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Van Hirtum-Das — President · (818) 788-7857
NPI enumeratedJuly 23, 2008
Last updated in NPPESFebruary 10, 2014
Mailing address501 W Glenoaks Blvd, 705, Glendale, CA 91202-2896

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