MEDICARE: BEVERLY COMMUNITY CLINIC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QC1500X	Community Health Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1144791500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVERLY COMMUNITY CLINIC

Provider Business Mailing Address
First Line	:	2252 BEVERLY BLVD STE 103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2246
Country	:	US
Telephone Number	:	213-674-7424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2252 BEVERLY BLVD STE 103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2246
Country	:	US
Telephone Number	:	213-674-7424
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. JOHN BURNS
Credential	:	MD
Telephone Number	:	213-674-7424

Provider Enumeration Date	:	12/11/2018
Last Update Date	:	03/19/2024

Similar Medicare Providers

1407921737 — DR. JOHN SPILLANE BURNS M.D.
Practice Location Address:

2252 BEVERLY BLVD STE 103
LOS ANGELES, CA
90057-2246

Practice Phone: 213-674-7424
Practice Fax: 213-674-7524

1821310103 — MRS. RITA FARR P.A.
Practice Location Address:

2252 BEVERLY BLVD STE 103
LOS ANGELES, CA
90057-2246

Practice Phone: 213-674-7424
Practice Fax: 213-674-7524

1033513528 — ROSEMARIE QUIMSON-CRUZ, DMD, INC.
Practice Location Address:

2252 BEVERLY BLVD STE 102
LOS ANGELES, CA
90057-2246

Practice Phone: 323-228-1250
Practice Fax:

1982087128 — MRS. SUSANNE KATHLEEN COHEN FNP
Practice Location Address:

2252 BEVERLY BLVD STE 103
LOS ANGELES, CA
90057-2246

Practice Phone: 213-674-7424
Practice Fax: 213-674-7524

1053819508 — DOWNTOWN MEDICAL CENTER INC
Practice Location Address:

2252 BEVERLY BLVD STE 102
LOS ANGELES, CA
90057-2246

Practice Phone: 213-252-7281
Practice Fax: 213-252-7282

1356930192 — NUNE GALSTYAN
Practice Location Address:

2252 BEVERLY BLVD STE 103
LOS ANGELES, CA
90057-2246

Practice Phone: 213-674-7424
Practice Fax: 213-674-7524

Directions to “BEVERLY COMMUNITY CLINIC ” Practice Location

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