MEDICARE: SUMMER MCNEAL BEACHER

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	225X00000X	Occupational Therapist	31005328A	IN

General Provider Information

NPI Number	:	1487999454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER MCNEAL BEACHER

Provider Business Mailing Address
First Line	:	3837 DON TOMASO DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-5301
Country	:	US
Telephone Number	:	323-244-6753
Fax Number	:

Provider Business Practice Location Address
First Line	:	3837 DON TOMASO DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-5301
Country	:	US
Telephone Number	:	323-244-6753
Fax Number	:

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

Provider Enumeration Date	:	12/03/2012
Last Update Date	:	08/25/2014

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Directions to “ SUMMER MCNEAL BEACHER ” Practice Location

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