Healthcare Provider Details

I. General information

NPI: 1952499295
Provider Name (Legal Business Name): ALEXANDER MACWHORTER BEEBEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 W BELLEVUE DR STE B
PASADENA CA
91105-2501
US

IV. Provider business mailing address

97 W BELLEVUE DR STE B
PASADENA CA
91105-2501
US

V. Phone/Fax

Practice location:
  • Phone: 626-577-1305
  • Fax: 626-795-3527
Mailing address:
  • Phone: 626-577-1305
  • Fax: 626-795-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG52460
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG52460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: