Healthcare Provider Details

I. General information

NPI: 1033277033
Provider Name (Legal Business Name): BEATA ALINA PEARCE MSN, FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 GOODRICH BLVD
COMMERCE CA
90022-5111
US

IV. Provider business mailing address

PO BOX 3957
HUNTINGTON BEACH CA
92605-3957
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-1337
  • Fax:
Mailing address:
  • Phone: 714-421-3825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95000416
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2018019669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: