Healthcare Provider Details

I. General information

NPI: 1548762941
Provider Name (Legal Business Name): BECKY JANE NATALI PHARMD, MS, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BECKY JANE FULIN

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 WILSHIRE BLVD
BEVERLY HILLS CA
90211-1958
US

IV. Provider business mailing address

1540 AMHERST AVE APT 201
LOS ANGELES CA
90025-3978
US

V. Phone/Fax

Practice location:
  • Phone: 310-432-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66196
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47711
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number66196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: