MEDICARE: CHRISTOPHER BEUDER

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
1	363A00000X	Physician Assistant	PA66723	CA

General Provider Information

NPI Number	:	1316782378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BEUDER

Provider Business Mailing Address
First Line	:	1121 5TH ST
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6003
Country	:	US
Telephone Number	:	310-880-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2347
Country	:	US
Telephone Number	:	877-929-6863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	03/23/2026

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Directions to “ CHRISTOPHER BEUDER ” Practice Location

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