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NPI Code Detail

MEDICARE: BEVERLY HEALTH & BIRTHING CENTER

MEDICARE: BEVERLY HEALTH & BIRTHING CENTER
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
1174400000XSpecialistABS00090FCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W14171OTHERCAPTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225097025
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY HEALTH & BIRTHING CENTER
Provider Business Mailing Address
First Line : 4620 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3102
Country : US
Telephone Number : 323-462-6423
Fax Number : 323-462-3904
Provider Business Practice Location Address
First Line : 4620 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3102
Country : US
Telephone Number : 323-462-6423
Fax Number : 323-462-3904
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : EDWARD AHN
Credential : M.D.
Telephone Number : 323-462-6423
Provider Enumeration Date : 03/21/2006
Last Update Date : 04/20/2008

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Directions to “BEVERLY HEALTH & BIRTHING CENTER ” Practice Location

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