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NPI Code Detail

MEDICARE: DR. MICHAEL ALEXANDER BEAL MD

MEDICARE: DR. MICHAEL ALEXANDER BEAL MD
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
12085R0202XDiagnostic Radiology Physician334233NY
22085R0202XDiagnostic Radiology Physician2019012536MO
32085R0202XDiagnostic Radiology PhysicianC209186CA

Other Identifiers

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

General Provider Information

NPI Number : 1619389566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALEXANDER BEAL MD
Provider Business Mailing Address
First Line : FILE 57326
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 800-926-8273
Fax Number : 888-539-8781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 05/27/2026

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