Beth Medical Clinic in Los Angeles - Legal Medicine

Beth Medical Clinic - NPI 1104984137

Beth Medical Clinic is a Legal Medicine in Los Angeles, California. Beth Medical Clinic practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Beth Medical Clinic is 1104984137. The last update date is 2020-08-22.

Beth Medical Clinic's current location address is 11126 S Main St, Los Angeles, California. You can contact this provider via phone number 3237798398 and fax number 3237798493. The mailing address for Beth Medical Clinic is 11126 S Main St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beth Medical Clinic
Address 11126 S Main St, Los Angeles, California
Phone Number 3237798398
Fax Number 3237798493
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Ayodele A Emmanuel
Credentials MD
Telephone Number 3237798398

NPI Number Detail

NPI Number 1104984137
Provider Enumeration Date 2006-12-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 11126 S Main St
City Los Angeles
State California (CA)
Post Code 900611926
Phone Number 3237798398
Fax Number 3237798493

Provider's Primary Taxonomy Detail

Speciality Legal Medicine
Taxonomy 173000000X
Licence No A46478
Definition:
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A464780 CA --

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FAQs about Beth Medical Clinic

What is the unique provider identifier assigned to Beth Medical Clinic?

The Beth Medical Clinic has been issued the NPI (National Provider Identifier) 1104984137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Beth Medical Clinic's facilities are situated?

The facilities of Beth Medical Clinic are physically located at the following address: 11126 S Main St, Los Angeles, CA, 900611926.

What is Beth Medical Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Beth Medical Clinic is Legal Medicine, and the taxonomy code that classifies this field of practice is 173000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104984137 to Beth Medical Clinic?

The Beth Medical Clinic received its 1104984137 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.

As of what date was the information pertaining to Beth Medical Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Beth Medical Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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