WEST BEVERLY MEDICAL CORPORATION
NPI 1982875860
General Practice in Los Angeles, CA

Active since March 18, 2008
4643 BEVERLY BLVD, #103, LOS ANGELES, CA 90004(323) 461-4183(323) 461-0864 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Beverly Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST BEVERLY MEDICAL CORPORATION (NPI 1982875860) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since March 2008. The organization lists Jessie Antonio, Manager, as its authorized official.

NPPES Registry Identity

NPI1982875860
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWEST BEVERLY MEDICAL CORPORATION
Location Address4643 BEVERLY BLVD, #103Los Angeles, CA 90004-3101
Mailing Address4643 Beverly Blvd, #103Los Angeles, CA 90004-3101 · (323) 461-4183 · Fax (323) 461-0864
Fax(323) 461-0864
Organization SubpartNo
Authorized OfficialJessie AntonioManager · (323) 461-4183
Enumeration DateMarch 18, 2008
NPI 1982875860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4643 BEVERLY BLVD, Los Angeles, CA 90004

Other Identifiers 2

Medicare UPINA83326CA
Medicare PINW13826CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
4643 BEVERLY BLVD
LOS ANGELES, CA 90004
General Practice
4643 BEVERLY BLVD, SUITE 103
LOS ANGELES, CA 90004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Beverly Medical Corporation's NPI number?

The NPI number for West Beverly Medical Corporation is 1982875860. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is West Beverly Medical Corporation located?

West Beverly Medical Corporation is located at 4643 Beverly Blvd #103, Los Angeles, CA 90004. The listed phone number is (323) 461-4183.

What is West Beverly Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for West Beverly Medical Corporation was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.