MEDICARE: BETH A SIEGLER M.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	207L00000X	Anesthesiology Physician	A84446	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1700820404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH A SIEGLER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7001
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91357-7001
Country	:	US
Telephone Number	:	818-888-7815
Fax Number	:	818-715-1722

Provider Business Practice Location Address
First Line	:	433 N CAMDEN DR
Second Line	:	STE.#1170
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4409
Country	:	US
Telephone Number	:	310-358-9300
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/01/2014

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