Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

West Beverly Medical Corporation

Organization General Practice Physician · NPI 1982875860

West Beverly Medical Corporation is a General Practice Physician in Los Angeles, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4643 Beverly Blvd #103
Los Angeles, CA 90004-3101
Phone: (323) 461-4183
Fax: (323) 461-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1982875860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Antonio — Manager · (323) 461-4183
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 18, 2008
Mailing address4643 Beverly Blvd, 103, Los Angeles, CA 90004-3101

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