Beasley, Scott A

Beasley, Scott A is an individual health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Beasley, Scott A can be contacted via phone (818) 881-0800.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 881-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G37825 California

Profile Details

NPI number 1710055272
LBN Legal business name Beasley, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710055272 NPPES
California MEDICAID 00G378250

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