West Beverly Medical Corporation
NPI #1982875860 in Los Angeles, California
Provider Information
- NPI Number
- 1982875860
- Entity Type
- Organization
- Organization Name
- West Beverly Medical Corporation
- Primary Specialty
- General Practice
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 4643 BEVERLY BLVD
- Address 2
- #103
- City
- Los Angeles
- State
- California
- ZIP Code
- 90004-3101
- Phone
- (323) 461-4183
Authorized Official
- Name
- MR. JESSIE ANTONIO JR.
- Title
- MANAGER
- Phone
- (323) 461-4183
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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