Healthcare Provider Details

I. General information

NPI: 1356272488
Provider Name (Legal Business Name): BEVERLY MASON SERENITY LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 1/2 W VERNON AVE
LOS ANGELES CA
90037
US

IV. Provider business mailing address

534 1/2 W VERNON AVE
LOS ANGELES CA
90037
US

V. Phone/Fax

Practice location:
  • Phone: 213-801-5786
  • Fax:
Mailing address:
  • Phone: 213-801-5786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: LAPHYEAL POPE
Title or Position: ADMIN
Credential:
Phone: 213-801-5786