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NPI Code Detail

MEDICARE: BETH ANNE FRAHN

MEDICARE: BETH ANNE FRAHN
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
1126800000XDental Assistant60667CA

General Provider Information

NPI Number : 1184142291
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANNE FRAHN
Provider Business Mailing Address
First Line : 43051 SAN MARCOS PL
Second Line :
City : HEMET
State : CA
Zip : 92544-5189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12121 WILSHIRE BLVD STE 1111
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1188
Country : US
Telephone Number : 310-409-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2017
Last Update Date : 09/08/2017

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Directions to “ BETH ANNE FRAHN ” Practice Location

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