MEDICARE: BEVERLY GALE HAMMOCK

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	225700000X	Massage Therapist	49761	CA

General Provider Information

NPI Number	:	1760339733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY GALE HAMMOCK

Provider Business Mailing Address
First Line	:	145 S ELM DR APT 3
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3322
Country	:	US
Telephone Number	:	323-979-2265
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 S ELM DR APT 3
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3322
Country	:	US
Telephone Number	:	323-979-2265
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ BEVERLY GALE HAMMOCK ” Practice Location

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