Beth Medical Clinic

LBN: Beth Medical Clinic
Beth Medical Clinic is an health care organization with primary practice located at 11126 S Main St , Los Angeles CA 90061-1926. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Beth Medical Clinic can be contacted via phone (323) 779-8398, or through Ayodele, Emmanuel A via phone (323) 779-8398.

Contact Information

Primary practice address
11126 S Main St Los Angeles CA 90061-1926
Phone: (323) 779-8398
Fax: (323) 779-8493
Website:
Map and Directions
Authorized official contact:
Name: Ayodele, Emmanuel A Doctor of Medicine (MD)
Phone: (323) 779-8398

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A46478 California

Profile Details

NPI number 1104984137
LBN Legal business name Beth Medical Clinic
DBA Doing business as
Authorized official Ayodele, Emmanuel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104984137 NPPES
California MEDICAID 00A464780

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