MEDICARE: MOTION PICTURE AND TELEVISION FUND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	930000109	CA

General Provider Information

NPI Number	:	1134170566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTION PICTURE AND TELEVISION FUND

Provider Business Mailing Address
First Line	:	23388 MULHOLLAND DR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2733
Country	:	US
Telephone Number	:	818-876-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	23388 MULHOLLAND DR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2733
Country	:	US
Telephone Number	:	818-876-1888
Fax Number	:

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	MR. ROBERT BEITCHER
Credential	:
Telephone Number	:	818-876-4155

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/26/2014

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