West Beverly Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WEST BEVERLY MEDICAL CORPORATION

Practice address

4643 Beverly Blvd
#103
Los Angeles, CA 90004-3101

Phone

(323) 461-4183

Fax

(323) 461-0864

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jessie Antonio Jr.

Title

Manager

Phone

(323) 461-4183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1982875860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 BEVERLY BLVD",
            "address_2": "#103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043101",
            "telephone_number": "323-461-4183",
            "fax_number": "323-461-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 BEVERLY BLVD",
            "address_2": "#103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043101",
            "telephone_number": "323-461-4183",
            "fax_number": "323-461-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BEVERLY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-461-4183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Wesley
• Naissan Oliai Wesley, M.D.
• Ronald Edward Wesley, CNC
• Alex William Wessel, MD, PHD
• Lauren Elisabeth Wessel, MD
• West Beverly Podiatry Group
• West Coast Counseling Services Inc Dba West Coast Counseling Center (Compton Unified School District Vanguard Learning Center)
• West Coast Critical Care Specialist of Los Angeles, Inc.
• West Coast Dermatology and Skin Cancer, Inc.
• West Coast Healing, LLC

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.