BEVERLY LENORA NETHERLY NPI 1255183745

NPI Information

  • NPI: 1255183745
  • Provider Name: BEVERLY LENORA NETHERLY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Individual
  • Address: 510 S VERMONT AVE FL 19
    LOS ANGELES, CA
    ZIP 90020
  • Phone: (213) 948-2311

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NPI Details

Beverly Lenora Netherly is a mental health (including community mental health center) clinic center in Los Angeles, CA. Beverly Lenora Netherly NPI is 1255183745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 S VERMONT AVE FL 19
LOS ANGELES, CA
ZIP 90020-912
Phone: (213) 948-2311

The enumeration date for this NPI number is 4/5/2024 and was last updated on 4/5/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 3/30/2025

NPI Synchronization or Removal

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