BETH MEDICAL CLINIC
NPI 1104984137
Legal Medicine in Los Angeles, CA

NPI Status: Active since December 04, 2006

Contact Information

11126 S MAIN ST
LOS ANGELES, CA
ZIP 90061
Phone: (323) 779-8398
Fax: (323) 779-8493

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  • Organization
  • Legal Medicine

About BETH MEDICAL CLINIC

Beth Medical Clinic is a provider established in Los Angeles, California operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1104984137 assigned on December 2006. The practitioner's primary taxonomy code is 173000000X with license number A46478 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Emmanuel A Ayodele Md (Medical Doctor)

NPI
1104984137
Provider Name
BETH MEDICAL CLINIC
Entity Type
Organization
Location Address
11126 S MAIN ST LOS ANGELES, CA 90061
Location Phone
(323) 779-8398
Location Fax
(323) 779-8493
Mailing Address
11126 S MAIN ST LOS ANGELES, CA 90061
Mailing Phone
(323) 779-8398
Mailing Fax
(323) 779-8493
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
08-22-2020
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
A46478
License State
CA
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EMMANUEL A AYODELE MD

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(323) 779-8398

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00A464780MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104984137
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104188816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 8 + 8 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1104984137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730331299TOTAL HEALTHCARE
Organization
General Practice11126 S MAIN ST
LOS ANGELES, CA 90061
(213) 779-8398
1386942977BMC MEDICAL INC
Organization
Clinic/Center (Primary Care)11126 S MAIN ST
LOS ANGELES, CA 90061
(323) 779-8398
1619169406 EMMANUEL A AYODELE MD
Individual
General Practice11126 S MAIN ST
LOS ANGELES, CA 90061
(323) 779-8398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104984137, enumerated in the NPI registry as an "organization" on December 04, 2006

The provider is located at 11126 S Main St Los Angeles, Ca 90061 and the phone number is (323) 779-8398

This medical organization specializes in Legal Medicine with taxonomy code 173000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.