MEDICARE: DR. BEATRISA TSEYTLIN PHARMD

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	183500000X	Pharmacist	RPH53687	CA

General Provider Information

NPI Number	:	1437146313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEATRISA TSEYTLIN PHARMD

Provider Business Mailing Address
First Line	:	14506 BENEFIT ST
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-3732
Country	:	US
Telephone Number	:	818-789-6836
Fax Number	:	818-340-5075

Provider Business Practice Location Address
First Line	:	23107 SHERMAN PL
Second Line	:	#101
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2006
Country	:	US
Telephone Number	:	818-340-0212
Fax Number	:	818-340-5075

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/08/2007

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