Beverley a Petrie MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A55817 Issued in CA

Legal business name

BEVERLEY A PETRIE MD INC

Practice address

3400 Lomita Blvd
Suite # 500
Torrance, CA 90505-4909

Phone

(310) 539-2630

Fax

(310) 539-9785

NPI assigned

Jan 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Beverley A Petrie, M.D.

Title

Owner

Phone

(310) 539-2630

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1821234329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE # 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-539-2630",
            "fax_number": "310-539-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE # 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-539-2630",
            "fax_number": "310-539-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEY A PETRIE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-539-2630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A55817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.