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NPI Code Detail

MEDICARE: LEXUS BEAMAN

MEDICARE: LEXUS BEAMAN
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
1106H00000XMarriage & Family TherapistIMF 81891CA

General Provider Information

NPI Number : 1154712537
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEXUS BEAMAN
Provider Business Mailing Address
First Line : 12304 SANTA MONICA BLVD STE 327
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12304 SANTA MONICA BLVD STE 327
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7207
Country : US
Telephone Number : 562-209-4958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2015
Last Update Date : 02/06/2015

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Directions to “ LEXUS BEAMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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