MEDICARE: DR. ASTRID BEIGEL PH.D

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	103T00000X	Psychologist	PSY4122	CA

General Provider Information

NPI Number	:	1568537157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASTRID BEIGEL PH.D

Provider Business Mailing Address
First Line	:	2437 S HALM AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-2028
Country	:	US
Telephone Number	:	310-837-4354
Fax Number	:	310-837-1533

Provider Business Practice Location Address
First Line	:	2437 S HALM AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-2028
Country	:	US
Telephone Number	:	310-837-4354
Fax Number	:	310-837-1533

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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