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BEACON COMMUNITY MEDICAL CENTER INC. NPI 1245351808


NPI Information

NPI: 1245351808
Provider Name: BEACON COMMUNITY MEDICAL CENTER, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2017 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90006
Phone: (213) 480-1000
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BEACON COMMUNITY MEDICAL CENTER, INC. is a chiropractor in Los Angeles, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BEACON COMMUNITY MEDICAL CENTER, INC. NPI is 1245351808. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2017 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90006-705
Phone: (213) 480-1000
Fax: (213) 401-0018

The provider's authorized official is William Jonathan Park .
The authorized official title is Ceo and has the following contact phone number (213) 480-1000.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA54010CALIFORNIANo
2174400000XSpecialist20A8246CALIFORNIANo
3111N00000XChiropractorDC29535CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11821091661OTHERCALIFORNIANPI
2GR0102480MEDICAIDCALIFORNIA
31891798674OTHERCALIFORNIANPI
4Y14165MEDICARE UPIN
5W21069MEDICARE PINCALIFORNIA
68099936MEDICAIDCALIFORNIA
71962477299OTHERCALIFORNIANPI
8W17848MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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