MEDICARE: ALEXANDER BEEBEE, M.D., PH.D., INC.

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	2084V0102X	Vascular Neurology Physician	G52460	CA

General Provider Information

NPI Number	:	1598002578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER BEEBEE, M.D., PH.D., INC.

Provider Business Mailing Address
First Line	:	97 W BELLEVUE DR
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2501
Country	:	US
Telephone Number	:	626-577-1305
Fax Number	:	626-795-3527

Provider Business Practice Location Address
First Line	:	97 W BELLEVUE DR
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2501
Country	:	US
Telephone Number	:	626-577-1305
Fax Number	:	626-795-3527

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER MACWHORTER BEEBEE
Credential	:	M.D.
Telephone Number	:	626-577-1305

Provider Enumeration Date	:	01/10/2013
Last Update Date	:	01/10/2013

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